Residualizing linkers and uses thereof

ABSTRACT

The present invention relates to conjugates including a residualizing linker, methods for their production, and uses thereof.

CROSS REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. Provisional Application No.61/903,107, filed Nov. 12, 2013, which is hereby incorporated byreference in its entirety.

REFERENCE TO A SEQUENCE LISTING

This application contains a Sequence Listing in computer readable form.The computer readable form is incorporated herein by reference.

BACKGROUND

Biological molecules targeting proteins that undergo internalizationoffer a number of advantages. When labeled with either a diagnostic ortherapeutic agent they carry the label/prosthetic group inside the celland once inside the conjugate can enhance contrast for diagnostic agentsand/or deliver its therapeutic effects. The process of internalizationcan also enhance cytotoxic potency as in the case of radioimmunotherapywhen radioisotopes with short effective ranges are used.

Labeled biological molecules or conjugates are typically prepared byusing a linker to append the label to the biological molecule so thatminimal damage is done to the compound and affinity is maintained forthe target. Biological molecules labeled in this fashion and theninternalized can undergo rapid intracellular degradation. This is anenzyme-catalyzed event that breaks the conjugate down into smallpeptides and/or individual amino acids. As a result the label isliberated from the conjugate and often egresses from the target cells.In the case of diagnostic agents this significantly lowers target tonon-target ratios and with respect to therapeutic agents this can leadto significant undesirable off target toxicity.

Residualizing linkers are designed to retain the label intracellularlyafter lysosomal degradation of the internalized biological conjugate.This results in overall greater retention in the cells leading to bettertarget-to-non-target ratios and therapeutic effects.

SUMMARY OF THE INVENTION

The present invention is directed to linkers that minimize egress of thelabel by attaching it to a metabolically resistant negatively charged orzwitterionic backbone that can easily be attached to biologicalmolecules. The linkers described herein are comprised of three partsincluding a linker component, a residualizing backbone and the detectionagent. All three components are easily assembled in three simpleversatile synthetic steps following preparation of the polyanionic orzwitterionic backbone that is comprised of different classes ofcompounds including alpha and beta glutamic acid residues forpolyanionic species, and a polyamine backbone wherein the secondaryamines have been derivatized with short-chain acidic residues togenerate zwitterionic species. Linker components include those which arelinear, cyclic or aromatic with an activated terminus to react with freeamine groups on biological compounds. The label includes radiohalogens,radiometals or luminescent compounds. The flexibility, ease of synthesisand enhanced residualization of the new linkers dramatically improvesthe utility of this conjugate for internalizing and retaining biologicaltherapeutic agents.

Accordingly, in a first aspect the invention features a conjugateincluding a polypeptide linked to a detection agent, the conjugatehaving the structure:

or a salt thereof,

wherein A-NH— is a polypeptide;

L¹ and L² are independently absent, optionally substituted C1-C6 alkyl,optionally substituted C1-C6 heteroalkyl, optionally substituted C2-C6alkenyl, optionally substituted C2-C6 heteroalkenyl, optionallysubstituted C2-C6 alkynyl, optionally substituted C2-C6 heteroalkynyl,optionally substituted C3-C10 cycloalkyl, optionally substituted C4-C10cycloalkenyl, optionally substituted C4-C10 cycloalkynyl, optionallysubstituted oxime, optionally substituted hydrazone, optionallysubstituted aryl, optionally substituted heterocyclic, optionallysubstituted C2-C100 polyethylene glycol, or L⁴-B;

L³ is absent or optionally substituted C1-C6 alkyl;

m is 0 or 1;

each R¹ and R² are independently hydrogen, —CH₂CO₂H, or —CH₂CH₂CO₂H;

each R³ and R⁴ is independently hydrogen or R³ and R⁴ combine to formC═O;

n is 0 or 1;

o is an integer between 1 and 10;

R⁵ is hydrogen or L⁴-B;

R⁶ and R⁷ are independently hydrogen, optionally substituted C1-C6hetereoalkyl, or L⁴-B;

L⁴ is independently absent, optionally substituted C1-C6 alkyl,optionally substituted C1-C6 heteroalkyl, optionally substituted C2-C6alkenyl, optionally substituted C2-C6 heteroalkenyl, optionallysubstituted C2-C6 alkynyl, optionally substituted C2-C6 heteroalkynyl,optionally substituted C3-C10 cycloalkyl, optionally substituted C4-C10cycloalkenyl, optionally substituted C4-C10 cycloalkynyl, optionallysubstituted oxime, optionally substituted hydrazone, optionallysubstituted aryl, or optionally substituted heterocyclic;

B is an organic moiety including a detection agent;

wherein at least one R¹ or R² is —CH₂CO₂H or CH₂CH₂CO₂H;

at least one of L¹ and L² are present and when L¹ or L² are absent, m is0;

and one and only one of L¹, L², R⁵, R⁶, and R⁷ is L⁴-B.

In another aspect, the invention features a compound having thestructure:

or a salt thereof,

L¹ and L² are independently absent, optionally substituted C1-C6 alkyl,optionally substituted C1-C6 heteroalkyl, optionally substituted C2-C6alkenyl, optionally substituted C2-C6 heteroalkenyl, optionallysubstituted C2-C6 alkynyl, optionally substituted C2-C6 heteroalkynyl,optionally substituted C3-C10 cycloalkyl, optionally substituted C4-C10cycloalkenyl, optionally substituted C4-C10 cycloalkynyl, optionallysubstituted oxime, optionally substituted hydrazone, optionallysubstituted aryl, optionally substituted heterocyclic, optionallysubstituted C2-C100 polyethylene glycol, or L⁴-B;

L³ is absent or optionally substituted C1-C6 alkyl;

m is 0 or 1;

each R¹ and R² are independently hydrogen, —CH₂CO₂H, or —CH₂CH₂CO₂H;

each R³ and R⁴ is independently hydrogen or R³ and R⁴ combine to formC═O;

n is 0 or 1;

o is an integer between 1 and 10;

R⁵ is hydrogen or L⁴-B;

R⁶ and R⁷ are independently hydrogen, optionally substituted C1-C6hetereoalkyl, or L⁴-B;

R⁹ is —CO₂H, —N═C═O, —N═C═S,

L⁴ is independently absent, optionally substituted C1-C6 alkyl,optionally substituted C1-C6 heteroalkyl, optionally substituted C2-C6alkenyl, optionally substituted C2-C6 heteroalkenyl, optionallysubstituted C2-C6 alkynyl, optionally substituted C2-C6 heteroalkynyl,optionally substituted C3-C10 cycloalkyl, optionally substituted C4-C10cycloalkenyl, optionally substituted C4-C10 cycloalkynyl, optionallysubstituted oxime, optionally substituted hydrazone, optionallysubstituted aryl, or optionally substituted heterocyclic;

B is an organic moiety including a detection agent;

wherein at least one R¹ or R² is —CH₂CO₂H or CH₂CH₂CO₂H;

at least one of L¹ and L² are present and when L¹ or L² are absent, m is0;

and one and only one of L¹, L², R⁵, R⁶, and R⁷ is L⁴-B.

In another aspect, the invention features a method of producing apolypeptide conjugate, the method including reacting a compound offormula II:

with a polypeptide, wherein the polypeptide has one or more primaryamine groups, under conditions to produce a compound of formula I:

or a salt thereof,

wherein A-NH— is a polypeptide;

L¹ and L² are independently absent, optionally substituted C1-C6 alkyl,optionally substituted C1-C6 heteroalkyl, optionally substituted C2-C6alkenyl, optionally substituted C2-C6 heteroalkenyl, optionallysubstituted C2-C6 alkynyl, optionally substituted C2-C6 heteroalkynyl,optionally substituted C3-C10 cycloalkyl, optionally substituted C4-C10cycloalkenyl, optionally substituted C4-C10 cycloalkynyl, optionallysubstituted oxime, optionally substituted hydrazone, optionallysubstituted aryl, optionally substituted heterocyclic, optionallysubstituted C2-C100 polyethylene glycol, or L⁴-B;

L³ is absent or optionally substituted C1-C6 alkyl;

m is 0 or 1;

each R¹ and R² are independently hydrogen, —CH₂CO₂H, or —CH₂CH₂CO₂H;

each R³ and R⁴ is independently hydrogen or R³ and R⁴ combine to formC═O;

n is 0 or 1;

o is an integer between 1 and 10;

R⁵ is hydrogen or L⁴-B;

R⁶ and R⁷ are independently hydrogen, optionally substituted C1-C6hetereoalkyl, or L⁴-B;

R⁹ is —CO₂H, —N═C═O, —N═C═S,

L⁴ is independently absent, optionally substituted C1-C6 alkyl,optionally substituted C1-C6 heteroalkyl, optionally substituted C2-C6alkenyl, optionally substituted C2-C6 heteroalkenyl, optionallysubstituted C2-C6 alkynyl, optionally substituted C2-C6 heteroalkynyl,optionally substituted C3-C10 cycloalkyl, optionally substituted C4-C10cycloalkenyl, optionally substituted C4-C10 cycloalkynyl, optionallysubstituted oxime, optionally substituted hydrazone, optionallysubstituted aryl, or optionally substituted heterocyclic;

B is an organic moiety including a detection agent;

wherein at least one R¹ or R² is —CH₂CO₂H or CH₂CH₂CO₂H;

at least one of L¹ and L² are present and when L¹ or L² are absent, m is0;

and one and only one of L¹, L², R⁵, R⁶, and R⁷ is L⁴-B.

In some embodiments, the detection agent is a radionuclide (e.g., analpha, beta, or gamma emitter), a magnetic agent, or a bioluminescentagent.

In certain embodiments, the radionuclide is ¹⁸F, ⁷⁵Br, ⁷⁶Br, ⁷⁷Br, ¹²³I,¹²⁴I, ¹²⁵I, ¹³¹I, or ²¹¹At.

In other embodiments, B is an organic moiety including an optionallysubstituted aryl, an optionally substituted heteroaryl, or an optionallysubstituted hetereocyclic.

In certain embodiments, B has the structure:

wherein R⁸ is a radionuclide, wherein the radionuclide is ¹⁸F, ⁷⁵Br,⁷⁶Br, ⁷⁷Br, ¹²³I, ¹²⁴I, ¹²⁵I, ¹³¹I, or ²¹¹At.

In some embodiments, B has the structure:

wherein the iodine atom is ¹²³I, ¹²⁴I, ¹²⁵I, or ¹³¹I.

In other embodiments, B has the structure of:

wherein a metal is chelated to the structure.

In some embodiments, L⁴ is optionally substituted C1-C6 alkyl (e.g.,n-butyl) or absent.

In certain embodiments, R⁵ is L⁴-B and R⁶ and R⁷ are both hydrogen.

In other embodiments, R⁶ is L⁴-B and R⁵ and R⁷ are both hydrogen.

In some embodiments, L² is L⁴-B, R⁵ and R⁷ are hydrogen, and R⁶ isoptionally substituted C1-C6 heteroalkyl (e.g.,

In certain embodiments, L² is selected from optionally substituted C1-C6alkyl (e.g., n-butyl), optionally substituted C1-C6 heteroalkyl (e.g.,

optionally substituted C3-C10 cycloalkyl (e.g., cyclohexyl), optionallysubstituted aryl (e.g., phenyl), and optionally substituted C2-C100polyethylene glycol (e.g.,

In other embodiments, L¹ is absent or optionally substituted C3-C10cycloalkyl.

In some embodiments, L¹ is absent and m is 0.

In certain embodiments, L¹ is optionally substituted C3-C10 cycloalkyl(e.g., cyclohexyl) and m is 1.

In some embodiments, L³ is absent.

In some embodiments, L³ is optionally substituted C1-C6 alkyl (e.g.,methylene).

In other embodiments, R¹ is hydrogen.

In some embodiments, R² is —CH₂CO₂H or —CH₂CH₂CO₂H.

In certain embodiments, R¹ is —CH₂CO₂H.

In some embodiments, R³ and R⁴ combine to form C═O or R³ and R⁴ are bothhydrogen.

In certain embodiments, n is 0.

In other embodiments, n is 1.

In some embodiments, R⁹ is —CO₂H,

In certain embodiments, o is 3.

In other embodiments, the polypeptide is an antibody, or anantigen-binding fragment thereof.

In some embodiments, the antibody, or antigen-binding fragment thereof,specifically binds insulin-like growth factor-1 receptor (IGF1R).

In other embodiments, the antibody, or antibody-binding fragment thereofincludes a heavy chain variable domain including at least one, two, orall three complementarity determining regions (CDRs) selected from:

(a) CDR-H1 including the amino acid sequence of SEQ ID NO: 1;

(b) CDR-H2 including the amino acid sequence of SEQ ID NO: 2; and

(c) CDR-H3 including the amino acid sequence of SEQ ID NO: 3.

In some embodiments, the antibody, or antibody-binding fragment thereofincludes a light chain variable domain including at least one, two, orall three CDRs selected from:

(a) CDR-L1 including the amino acid sequence of SEQ ID NO: 1;

(b) CDR-L2 including the amino acid sequence of SEQ ID NO: 3; and

(c) CDR-L3 including the amino acid sequence of SEQ ID NO: 3.

In certain embodiments, the antibody, or antibody-binding fragmentthereof includes a heavy chain variable domain and a light chainvariable domain including at least one, two, three, four, five, or allsix CDRs selected from:

(a) CDR-H1 including the amino acid sequence of SEQ ID NO: 1;

(b) CDR-H2 including the amino acid sequence of SEQ ID NO: 2;

(c) CDR-H3 including the amino acid sequence of SEQ ID NO: 3;

(d) CDR-L1 including the amino acid sequence of SEQ ID NO: 4;

(e) CDR-L2 including the amino acid sequence of SEQ ID NO: 5; and

(f) CDR-L3 including the amino acid sequence of SEQ ID NO: 6.

In other embodiments, the heavy chain variable domain includes the aminoacid sequence of SEQ ID NO: 7.

In some embodiments, the light chain variable domain includes the aminoacid sequence of SEQ ID NO: 8.

In certain embodiments, the antibody, or antigen-binding fragmentthereof, includes a heavy chain including the amino acid sequence of SEQID NO: 9.

In other embodiments, the antibody, or antigen-binding fragment thereof,includes a light chain including the amino acid sequence of SEQ ID NO:10.

In some embodiments, the antibody, or antigen-binding fragment thereofis figitumumab, cixutumumab, AMG479, BIBB022, SCH717454, or R1507.

In certain embodiments, the antibody, or antibody-binding fragmentthereof, substantially binds to the same epitope as figitumumab.

In certain embodiments, the conjugate has the structure:

wherein the iodine atom is ¹²³I, ¹²⁴I, ¹²⁵I, or ¹³¹I.

In other embodiments, the conjugate has the structure:

wherein a metal is chelated to the structure.

In certain embodiments, the compound of Formula II has the structure:

wherein the iodine atom is ¹²³I, ¹²⁴I, ¹²⁵I, or ¹³¹I.

In other embodiments, the compound of Formula II has the structure:

wherein a metal is chelated to the structure.

In another aspect, the invention features a pharmaceutical compositionincluding any of the foregoing conjugates and a pharmaceuticallyacceptable excipient.

In another aspect, the invention features a method of treating cancer,the method including administering to a subject in need thereof any ofthe foregoing conjugates or pharmaceutical compositions.

In another aspect, the invention features a method of radiationtreatment planning, the method including administering to a subject inneed thereof any of the foregoing conjugates or pharmaceuticalcompositions.

In another aspect, the invention features a method of treating cancer,the method including administering to a subject in need thereof a firstdose of any of the foregoing conjugates or pharmaceutical compositionsin an amount effective for radiation treatment planning, followed byadministering a second dose of any of the foregoing conjugates orpharmaceutical compositions in a therapeutically effective amount.

In certain embodiments, the conjugate or composition administered in thefirst dose and the conjugate or composition administered in the seconddose are the same.

In other embodiments, the conjugate or composition administered in thefirst dose and the conjugate or composition administered in the seconddose are different.

In some embodiments, the cancer is a solid tumor cancer (e.g., breastcancer, non-small cell lung cancer, prostate cancer, pancreatic cancer,head and neck cancer, colon cancer, sarcoma, or adrenocorticalcarcinoma).

In certain embodiments, the method further includes administering anantiproliferative.

In some embodiments, any of the foregoing conjugates or compositions andthe antiproliferative are administered within 28 days (e.g., within 14,7, 6, 5, 4, 3, 2, or 1 day(s)) of each other.

Chemical Terms:

The term “acyl,” as used herein, represents a hydrogen or an alkyl group(e.g., a haloalkyl group), as defined herein, that is attached to theparent molecular group through a carbonyl group, as defined herein, andis exemplified by formyl (i.e., a carboxyaldehyde group), acetyl,trifluoroacetyl, propionyl, butanoyl and the like. Exemplaryunsubstituted acyl groups include from 1 to 7, from 1 to 11, or from 1to 21 carbons. In some embodiments, the alkyl group is furthersubstituted with 1, 2, 3, or 4 substituents as described herein.

The term “alkyl,” as used herein, is inclusive of both straight chainand branched chain saturated groups from 1 to 20 carbons (e.g., from 1to 10 or from 1 to 6), unless otherwise specified. Alkyl groups areexemplified by methyl, ethyl, n- and iso-propyl, n-, sec-, iso- andtert-butyl, neopentyl, and the like, and may be optionally substitutedwith one, two, three, or, in the case of alkyl groups of two carbons ormore, four substituents independently selected from the group consistingof: (1) C₁₋₆ alkoxy; (2) C₁₋₆ alkylsulfinyl; (3) amino, as definedherein (e.g., unsubstituted amino (i.e., —NH₂) or a substituted amino(i.e., —N(R^(N1))₂, where R^(N1) is as defined for amino); (4) C₆₋₁₀aryl-C₁₋₆ alkoxy; (5) azido; (6) halo; (7) (C₂₋₉ heterocyclyl)oxy; (8)hydroxy, optionally substituted with an O-protecting group; (9) nitro;(10) oxo (e.g., carboxyaldehyde or acyl); (11) C₁₋₇ spirocyclyl; (12)thioalkoxy; (13) thiol; (14) —CO₂R^(A′), optionally substituted with anO-protecting group and where R^(A′) is selected from the groupconsisting of (a) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl), (b) C₂₋₂₀ alkenyl(e.g., C₂₋₆ alkenyl), (c) C₆₋₁₀ aryl, (d) hydrogen, (e) C₁₋₆ alk-C₆₋₁₀aryl, amino-C₁₋₂₀ alkyl, (g) polyethylene glycol of—(CH₂)_(s2)(OCH₂CH₂)_(s1) (CH₂)_(s3)OR′, wherein s1 is an integer from 1to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 and s3,independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0 to6, from 1 to 4, from 1 to 6, or from 1 to 10), and R′ is H or C₁₋₂₀alkyl, and (h) amino-polyethylene glycol of—NR^(N1)(CH₂)_(s2)(CH₂CH₂O)_(s1)(CH₂)_(s3)NR^(N1), wherein s1 is aninteger from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 ands3, independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and each R^(N1) is,independently, hydrogen or optionally substituted C₁₋₆ alkyl; (15)—C(O)NR^(B′)R^(C′), where each of R^(B′) and R^(C′) is, independently,selected from the group consisting of (a) hydrogen, (b) C₁₋₆ alkyl, (c)C₆₋₁₀ aryl, and (d) C₁₋₆ alk-C₆₋₁₀ aryl; (16) —SO₂R^(D′), where R^(D′)is selected from the group consisting of (a) C₁₋₆ alkyl, (b) C₆₋₁₀ aryl,(c) C₁₋₆ alk-C₆₋₁₀ aryl, and (d) hydroxy; (17) —SO₂NR^(E′)R^(F′), whereeach of R^(E′), and R^(F′) is, independently, selected from the groupconsisting of (a) hydrogen, (b) C₁₋₆ alkyl, (c) C₆₋₁₀ aryl and (d) C₁₋₆alk-C₆₋₁₀ aryl; (18) —C(O)R^(D′), where R^(G′) is selected from thegroup consisting of (a) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl), (b) C₂₋₂₀alkenyl (e.g., C₂₋₆ alkenyl), (c) C₆₋₁₀ aryl, (d) hydrogen, (e) C₁₋₆alk-C₆₋₁₀ aryl, (f) amino-C₁₋₂₀ alkyl, (g) polyethylene glycol of—(CH₂)_(s2)(OCH₂CH₂)_(s1)(CH₂)_(s3)OR′, wherein s1 is an integer from 1to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 and s3,independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0 to6, from 1 to 4, from 1 to 6, or from 1 to 10), and R′ is H or C₁₋₂₀alkyl, and (h) amino-polyethylene glycol of—NR^(N1)(CH₂)_(s2)(CH₂CH₂O)_(s1)(CH₂)_(s3)NR^(N1), wherein s1 is aninteger from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 ands3, independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and each R^(N1) is,independently, hydrogen or optionally substituted C₁₋₆ alkyl; (19)—NR^(H′)C(O)R^(I′), wherein R^(H′) is selected from the group consistingof (a1) hydrogen and (b1) C₁₋₆ alkyl, and R^(I′) is selected from thegroup consisting of (a2) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl), (b2) C₂₋₂₀alkenyl (e.g., C₂₋₆ alkenyl), (c2) C₆₋₁₀ aryl, (d2) hydrogen, (e2) C₁₋₆alk-C₆₋₁₀ aryl, (f2) amino-C₁₋₂₀ alkyl, (g2) polyethylene glycol of—(CH₂)_(s2)(OCH₂CH₂)_(s1) (CH₂)_(s3)OR′, wherein s1 is an integer from 1to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 and s3,independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0 to6, from 1 to 4, from 1 to 6, or from 1 to 10), and R′ is H or C₁₋₂₀alkyl, and (h2) amino-polyethylene glycol of—NR^(N1)(CH₂)_(s2)(CH₂CH₂O)_(s1)(CH₂)_(s3)NR^(N1), wherein s1 is aninteger from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 ands3, independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and each R^(N1) is,independently, hydrogen or optionally substituted C₁₋₆ alkyl; (20)—NR^(J′)C(O)OR^(K′), wherein R^(J′) is selected from the groupconsisting of (a1) hydrogen and (b1) C₁₋₆ alkyl, and R^(K′) is selectedfrom the group consisting of (a2) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl), (b2)C₂₋₂₀ alkenyl (e.g., C₂₋₆ alkenyl), (c2) C₆₋₁₀ aryl, (d2) hydrogen, (e2)C₁₋₆ alk-C₆₋₁₀ aryl, (f2) amino-C₁₋₂₀ alkyl, (g2) polyethylene glycol of—(CH₂)_(s2)(OCH₂CH₂)_(s1)(CH₂)_(s3)OR′, wherein s1 is an integer from 1to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 and s3,independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0 to6, from 1 to 4, from 1 to 6, or from 1 to 10), and R′ is H or C₁₋₂₀alkyl, and (h2) amino-polyethylene glycol of—NR^(N1)(CH₂)_(s2)(CH₂CH₂O)_(s1)(CH₂)_(s3)NR^(N1), wherein s1 is aninteger from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 ands3, independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and each R^(N1) is,independently, hydrogen or optionally substituted C₁₋₆ alkyl; and (21)amidine. In some embodiments, each of these groups can be furthersubstituted as described herein. For example, the alkylene group of aC₁-alkaryl can be further substituted with an oxo group to afford therespective aryloyl substituent.

The term “alkylene” and the prefix “alk-,” as used herein, represent asaturated divalent hydrocarbon group derived from a straight or branchedchain saturated hydrocarbon by the removal of two hydrogen atoms, and isexemplified by methylene, ethylene, isopropylene, and the like. The term“C_(x-y) alkylene” and the prefix “C_(x-y) alk-” represent alkylenegroups having between x and y carbons. Exemplary values for x are 1, 2,3, 4, 5, and 6, and exemplary values for y are 2, 3, 4, 5, 6, 7, 8, 9,10, 12, 14, 16, 18, or 20 (e.g., C₁₋₆, C₁₋₁₀, C₂₋₂₀, C₂₋₆, C₂₋₁₀, OrC₂₋₂₀ alkylene). In some embodiments, the alkylene can be furthersubstituted with 1, 2, 3, or 4 substituent groups as defined herein foran alkyl group.

The term “alkenyl,” as used herein, represents monovalent straight orbranched chain groups of, unless otherwise specified, from 2 to 20carbons (e.g., from 2 to 6 or from 2 to 10 carbons) containing one ormore carbon-carbon double bonds and is exemplified by ethenyl,1-propenyl, 2-propenyl, 2-methyl-1-propenyl, 1-butenyl, 2-butenyl, andthe like. Alkenyls include both cis and trans isomers. Alkenyl groupsmay be optionally substituted with 1, 2, 3, or 4 substituent groups thatare selected, independently, from amino, aryl, cycloalkyl, orheterocyclyl (e.g., heteroaryl), as defined herein, or any of theexemplary alkyl substituent groups described herein.

The term “alkynyl,” as used herein, represents monovalent straight orbranched chain groups from 2 to 20 carbon atoms (e.g., from 2 to 4, from2 to 6, or from 2 to 10 carbons) containing a carbon-carbon triple bondand is exemplified by ethynyl, 1-propynyl, and the like. Alkynyl groupsmay be optionally substituted with 1, 2, 3, or 4 substituent groups thatare selected, independently, from aryl, cycloalkyl, or heterocyclyl(e.g., heteroaryl), as defined herein, or any of the exemplary alkylsubstituent groups described herein.

The term “amino,” as used herein, represents —N(R^(N1))₂, wherein eachR^(N1) is, independently, H, OH, NO₂, N(R^(N2))₂, SO₂OR^(N2), SO₂R^(N2),SOR^(N2), an N-protecting group, alkyl, alkenyl, alkynyl, alkoxy, aryl,alkaryl, cycloalkyl, alkcycloalkyl, carboxyalkyl (e.g., optionallysubstituted with an O-protecting group, such as optionally substitutedarylalkoxycarbonyl groups or any described herein), sulfoalkyl, acyl(e.g., acetyl, trifluoroacetyl, or others described herein),alkoxycarbonylalkyl (e.g., optionally substituted with an O-protectinggroup, such as optionally substituted arylalkoxycarbonyl groups or anydescribed herein), heterocyclyl (e.g., heteroaryl), or alkheterocyclyl(e.g., alkheteroaryl), wherein each of these recited R^(N1) groups canbe optionally substituted, as defined herein for each group; or twoR^(N1) combine to form a heterocyclyl or an N-protecting group, andwherein each R^(N2) is, independently, H, alkyl, or aryl. The aminogroups of the invention can be an unsubstituted amino (i.e., —NH₂) or asubstituted amino (i.e., —N(R^(N1))₂). In a preferred embodiment, aminois —NH₂ or —NHR^(N1), wherein R^(N1) is, independently, OH, NO₂, NH₂,NR^(N2) ₂, SO₂OR^(N2), SO₂R^(N2), SOR^(N2), alkyl, carboxyalkyl,sulfoalkyl, acyl (e.g., acetyl, trifluoroacetyl, or others describedherein), alkoxycarbonylalkyl (e.g., t-butoxycarbonylalkyl) or aryl, andeach R^(N2) can be H, C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl), or C₆₋₁₀ aryl.

The term “amino acid,” as described herein, refers to a molecule havinga side chain, an amino group, and an acid group (e.g., a carboxy groupof —CO₂H or a sulfo group of —SO₃H), wherein the amino acid is attachedto the parent molecular group by the side chain, amino group, or acidgroup (e.g., the side chain). In some embodiments, the amino acid isattached to the parent molecular group by a carbonyl group, where theside chain or amino group is attached to the carbonyl group. Exemplaryside chains include an optionally substituted alkyl, aryl, heterocyclyl,alkaryl, alkheterocyclyl, aminoalkyl, carbamoylalkyl, and carboxyalkyl.Exemplary amino acids include alanine, arginine, asparagine, asparticacid, cysteine, glutamic acid, glutamine, glycine, histidine,hydroxynorvaline, isoleucine, leucine, lysine, methionine, norvaline,ornithine, phenylalanine, proline, pyrrolysine, selenocysteine, serine,taurine, threonine, tryptophan, tyrosine, and valine. Amino acid groupsmay be optionally substituted with one, two, three, or, in the case ofamino acid groups of two carbons or more, four substituentsindependently selected from the group consisting of: (1) C₁₋₆ alkoxy;(2) C₁₋₆ alkylsulfinyl; (3) amino, as defined herein (e.g.,unsubstituted amino (i.e., —NH₂) or a substituted amino (i.e.,—N(R^(N1))₂, where R^(N1) is as defined for amino); (4) C₆₋₁₀ aryl-C₁₋₆alkoxy; (5) azido; (6) halo; (7) (C₂₋₉ heterocyclyl)oxy; (8) hydroxy;(9) nitro; (10) oxo (e.g., carboxyaldehyde or acyl); (11) C₁₋₇spirocyclyl; (12) thioalkoxy; (13) thiol; (14) —CO₂R^(A′), where R^(A′)is selected from the group consisting of (a) C₁₋₂₀ alkyl (e.g., C₁₋₆alkyl), (b) C₂₋₂₀ alkenyl (e.g., C₂₋₆ alkenyl), (c) C₆₋₁₀ aryl, (d)hydrogen, (e) C₁₋₆ alk-C₆₋₁₀ aryl, (f) amino-C₁₋₂₀ alkyl, (g)polyethylene glycol of —(CH₂)_(s2)(OCH₂CH₂)_(s1)(CH₂)_(s3)OR′, whereins1 is an integer from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), eachof s2 and s3, independently, is an integer from 0 to 10 (e.g., from 0 to4, from 0 to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and R′ is Hor C₁₋₂₀ alkyl, and (h) amino-polyethylene glycol of—NR^(N1)(CH₂)_(s2)(CH₂CH₂O)_(s1)(CH₂)_(s3)NR^(N1), wherein s1 is aninteger from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 ands3, independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and each R^(N1) is,independently, hydrogen or optionally substituted C₁₋₆ alkyl; (15)—C(O)NR^(B′)R^(C′), where each of R^(B′) and R^(C′) is, independently,selected from the group consisting of (a) hydrogen, (b) C₁₋₆ alkyl, (c)C₆₋₁₀ aryl, and (d) C₁₋₆ alk-C₆₋₁₀ aryl; (16) —SO₂R^(D′), where R^(D′)is selected from the group consisting of (a) C₁₋₆ alkyl, (b) C₆₋₁₀ aryl,(c) C₁₋₆ alk-C₆₋₁₀ aryl, and (d) hydroxy; (17) —SO₂NR^(E′)R^(F′), whereeach of R^(E′) and R^(F′) is, independently, selected from the groupconsisting of (a) hydrogen, (b) C₁₋₆ alkyl, (c) C₆₋₁₀ aryl and (d) C₁₋₆alk-C₆₋₁₀ aryl; (18) —C(O)R^(D′), where R^(G′) is selected from thegroup consisting of (a) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl), (b) C₂₋₂₀alkenyl (e.g., C₂₋₆ alkenyl), (c) C₆₋₁₀ aryl, (d) hydrogen, (e) C₁₋₆alk-C₆₋₁₀ aryl, (f) amino-C₁₋₂₀ alkyl, (g) polyethylene glycol of—(CH₂)_(s2)(OCH₂CH₂)_(s1)(CH₂)_(s3)OR′, wherein s1 is an integer from 1to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 and s3,independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0 to6, from 1 to 4, from 1 to 6, or from 1 to 10), and R′ is H or C₁₋₂₀alkyl, and (h) amino-polyethylene glycol of—NR^(N1)(CH₂)_(s2)(CH₂CH₂O)_(s1)(CH₂)_(s3)NR^(N1), wherein s1 is aninteger from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 ands3, independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and each R^(N1) is,independently, hydrogen or optionally substituted C₁₋₆ alkyl; (19)—NR^(H′)C(O)R¹, wherein R^(H′) is selected from the group consisting of(a1) hydrogen and (b1) C₁₋₆ alkyl, and R¹ is selected from the groupconsisting of (a2) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl), (b2) C₂₋₂₀ alkenyl(e.g., C₂₋₆ alkenyl), (c2) C₆₋₁₀ aryl, (d2) hydrogen, (e2) C₁₋₆alk-C₆₋₁₀ aryl, (f2) amino-C₁₋₂₀ alkyl, (g2) polyethylene glycol of—(CH₂)_(s2)(OCH₂CH₂)_(s1)(CH₂)_(s3)OR′, wherein s1 is an integer from 1to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 and s3,independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0 to6, from 1 to 4, from 1 to 6, or from 1 to 10), and R′ is H or C₁₋₂₀alkyl, and (h2) amino-polyethylene glycol of—NR^(N1)(CH₂)_(s2)(CH₂CH₂O)_(s1)(CH₂)_(s3)NR^(N1), wherein s1 is aninteger from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 ands3, independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and each R^(N1) is,independently, hydrogen or optionally substituted C₁₋₆ alkyl; (20)—NR^(J′)C(O)OR^(K′), wherein R^(J′) is selected from the groupconsisting of (a1) hydrogen and (b1) C₁₋₆ alkyl, and R^(K′) is selectedfrom the group consisting of (a2) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl), (b2)C₂₋₂₀ alkenyl (e.g., C₂₋₆ alkenyl), (c2) C₆₋₁₀ aryl, (d2) hydrogen, (e2)C₁₋₆ alk-C₆₋₁₀ aryl, (f2) amino-C₁₋₂₀ alkyl, (g2) polyethylene glycol of—(CH₂)_(s2)(OCH₂CH₂)_(s1)(CH₂)_(s3)OR′, wherein s1 is an integer from 1to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 and s3,independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0 to6, from 1 to 4, from 1 to 6, or from 1 to 10), and R′ is H or C₁₋₂₀alkyl, and (h2) amino-polyethylene glycol of—NR^(N1)(CH₂)_(s2)(CH₂CH₂O)_(s1)(CH₂)_(s3)NR^(N1), wherein s1 is aninteger from 1 to 10 (e.g., from 1 to 6 or from 1 to 4), each of s2 ands3, independently, is an integer from 0 to 10 (e.g., from 0 to 4, from 0to 6, from 1 to 4, from 1 to 6, or from 1 to 10), and each R^(N1) is,independently, hydrogen or optionally substituted C₁₋₆ alkyl; and (21)amidine. In some embodiments, each of these groups can be furthersubstituted as described herein.

The term “aryl,” as used herein, represents a mono-, bicyclic, ormulticyclic carbocyclic ring system having one or two aromatic rings andis exemplified by phenyl, naphthyl, 1,2-dihydronaphthyl,1,2,3,4-tetrahydronaphthyl, anthracenyl, phenanthrenyl, fluorenyl,indanyl, indenyl, and the like, and may be optionally substituted with1, 2, 3, 4, or 5 substituents independently selected from the groupconsisting of: (1) C₁₋₇ acyl (e.g., carboxyaldehyde); (2) C₁₋₂₀ alkyl(e.g., C₁₋₆ alkyl, C₁₋₆ alkoxy-C₁₋₆ alkyl, C₁₋₆ alkylsulfinyl-C₁₋₆alkyl, amino-C₁₋₆ alkyl, azido-C₁₋₆ alkyl, (carboxyaldehyde)-C₁₋₆ alkyl,halo-C₁₋₆ alkyl (e.g., perfluoroalkyl), hydroxy-C₁₋₆ alkyl, nitro-C₁₋₆alkyl, or C₁₋₆ thioalkoxy-C₁₋₆ alkyl); (3) C₁₋₂₀ alkoxy (e.g., C₁₋₆alkoxy, such as perfluoroalkoxy); (4) C₁₋₆ alkylsulfinyl; (5) C₆₋₁₀aryl; (6) amino; (7) C₁₋₆ alk-C₆₋₁₀ aryl; (8) azido; (9) C₃₋₈cycloalkyl; (10) C₁₋₆ alk-C₃₋₈ cycloalkyl; (11) halo; (12) C₁₋₁₂heterocyclyl (e.g., C₁₋₁₂ heteroaryl); (13) (C₁₋₁₂ heterocyclyl)oxy;(14) hydroxy; (15) nitro; (16) C₁₋₂₀ thioalkoxy (e.g., C₁₋₆ thioalkoxy);(17) —(CH₂)_(q)CO₂R^(A′), where q is an integer from zero to four, andR^(A′) is selected from the group consisting of (a) C₁₋₆ alkyl, (b)C₆₋₁₀ aryl, (c) hydrogen, and (d) C₁₋₆ alk-C₆₋₁₀ aryl; (18)—(CH₂)_(q)CONR^(B′)R^(C′), where q is an integer from zero to four andwhere R^(B′) and R^(D′) are independently selected from the groupconsisting of (a) hydrogen, (b) C₁₋₆ alkyl, (c) C₆₋₁₀ aryl, and (d) C₁₋₆alk-C₆₋₁₀ aryl; (19) —(CH₂)_(q)SO₂R^(D′), where q is an integer fromzero to four and where R^(D′) is selected from the group consisting of(a) alkyl, (b) C₆₋₁₀ aryl, and (c) alk-C₆₋₁₀ aryl; (20)—(CH₂)_(q)SO₂NR^(E′)R^(F′), where q is an integer from zero to four andwhere each of R^(E′) and R^(F′) is, independently, selected from thegroup consisting of (a) hydrogen, (b) C₁₋₆ alkyl, (c) C₆₋₁₀ aryl, and(d) C₁₋₆ alk-C₆₋₁₀ aryl; (21) thiol; (22) C₆₋₁₀ aryloxy; (23) C₃₋₈cycloalkoxy; (24) C₆₋₁₀ aryl-C₁₋₆ alkoxy; (25) C₁₋₆ alk-C₁₋₁₂heterocyclyl (e.g., C₁₋₆ alk-C₁₋₁₂ heteroaryl); (26) C₂₋₂₀ alkenyl; and(27) C₂₋₂₀ alkynyl. In some embodiments, each of these groups can befurther substituted as described herein. For example, the alkylene groupof a C₁-alkaryl or a C₁-alkheterocyclyl can be further substituted withan oxo group to afford the respective aryloyl and (heterocyclyl)oylsubstituent group.

The term “arylalkyl,” as used herein, represents an aryl group, asdefined herein, attached to the parent molecular group through analkylene group, as defined herein. Exemplary unsubstituted arylalkylgroups are from 7 to 30 carbons (e.g., from 7 to 16 or from 7 to 20carbons, such as C₁₋₆ alk-C₆₋₁₀ aryl, C₁₋₁₀ alk-C₆₋₁₀ aryl, or C₁₋₂₀alk-C₆₋₁₀ aryl). In some embodiments, the alkylene and the aryl each canbe further substituted with 1, 2, 3, or 4 substituent groups as definedherein for the respective groups. Other groups preceded by the prefix“alk-” are defined in the same manner, where “alk” refers to a C₁₋₆alkylene, unless otherwise noted, and the attached chemical structure isas defined herein.

The term “carbonyl,” as used herein, represents a C(O) group, which canalso be represented as C═O.

The term “carboxy,” as used herein, means —CO₂H.

The term “cyano,” as used herein, represents an —CN group.

The term “cycloalkyl,” as used herein represents a monovalent saturatedor unsaturated non-aromatic cyclic hydrocarbon group from three to eightcarbons, unless otherwise specified, and is exemplified by cyclopropyl,cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, bicycle heptyl, andthe like. When the cycloalkyl group includes one carbon-carbon doublebond or one carbon-carbon triple bond, the cycloalkyl group can bereferred to as a “cycloalkenyl” or “cycloalkynyl” group respectively.Exemplary cycloalkenyl and cycloalkynyl groups include cyclopentenyl,cyclohexenyl, cyclohexynyl, and the like. The cycloalkyl groups of thisinvention can be optionally substituted with: (1) C₁₋₇ acyl (e.g.,carboxyaldehyde); (2) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl, C₁₋₆ alkoxy-C₁₋₆alkyl, C₁₋₆ alkylsulfinyl-C₁₋₆ alkyl, amino-C₁₋₆ alkyl, azido-C₁₋₆alkyl, (carboxyaldehyde)-C₁₋₆ alkyl, halo-C₁₋₆ alkyl (e.g.,perfluoroalkyl), hydroxy-C₁₋₆ alkyl, nitro-C₁₋₆ alkyl, or C₁₋₆thioalkoxy-C₁₋₆ alkyl); (3) C₁₋₂₀ alkoxy (e.g., C₁₋₆ alkoxy, such asperfluoroalkoxy); (4) C₁₋₆ alkylsulfinyl; (5) C₆₋₁₀ aryl; (6) amino; (7)C₁₋₆ alk-C₆₋₁₀ aryl; (8) azido; (9) C₃₋₈ cycloalkyl; (10) C₁₋₆ alk-C₃₋₈cycloalkyl; (11) halo; (12) C₁₋₁₂ heterocyclyl (e.g., C₁₋₁₂ heteroaryl);(13) (C₁₋₁₂ heterocyclyl)oxy; (14) hydroxy; (15) nitro; (16) C₁₋₂₀thioalkoxy (e.g., C₁₋₆ thioalkoxy); (17) —(CH₂)_(q)CO₂R^(A′), where q isan integer from zero to four, and R^(A′) is selected from the groupconsisting of (a) C₁₋₆ alkyl, (b) C₆₋₁₀ aryl, (c) hydrogen, and (d) C₁₋₆alk-C₆₋₁₀ aryl; (18) —(CH₂)_(q)CONR^(B′)R^(C′), where q is an integerfrom zero to four and where R^(B′) and R^(D′) are independently selectedfrom the group consisting of (a) hydrogen, (b) C₆₋₁₀ alkyl, (c) C₆₋₁₀aryl, and (d) C₁₋₆ alk-C₆₋₁₀ aryl; (19) —(CH₂)_(q)SO₂R^(D′), where q isan integer from zero to four and where R^(D′) is selected from the groupconsisting of (a) C₆₋₁₀ alkyl, (b) C₆₋₁₀ aryl, and (c) C₁₋₆ alk-C₆₋₁₀aryl; (20) —(CH₂)_(q)SO₂NR^(E′)R^(F′), where q is an integer from zeroto four and where each of R^(E′) and R^(F′) is, independently, selectedfrom the group consisting of (a) hydrogen, (b) C₆₋₁₀ alkyl, (c) C₆₋₁₀aryl, and (d) C₁₋₆ alk-C₆₋₁₀ aryl; (21) thiol; (22) C₆₋₁₀ aryloxy; (23)cycloalkoxy; (24) C₆₋₁₀ aryl-C₁₋₆ alkoxy; (25) C₁₋₆ alk-C₁₋₁₂heterocyclyl (e.g., C₁₋₆ alk-C₁₋₁₂ heteroaryl); (26) oxo; (27) C₂₋₂₀alkenyl; and (28) C₂₋₂₀ alkynyl. In some embodiments, each of thesegroups can be further substituted as described herein. For example, thealkylene group of a C₁-alkaryl or a C₁-alkheterocyclyl can be furthersubstituted with an oxo group to afford the respective aryloyl and(heterocyclyl)oyl substituent group.

The term “diastereomer,” as used herein means stereoisomers that are notmirror images of one another and are non-superimposable on one another.

The term “enantiomer,” as used herein, means each individual opticallyactive form of a compound of the invention, having an optical purity orenantiomeric excess (as determined by methods standard in the art) of atleast 80% (i.e., at least 90% of one enantiomer and at most 10% of theother enantiomer), preferably at least 90% and more preferably at least98%.

The term “halogen,” as used herein, represents a halogen selected frombromine, chlorine, iodine, or fluorine.

The term “heteroalkyl,” as used herein, refers to an alkyl group, asdefined herein, in which one or two of the constituent carbon atoms haveeach been replaced by nitrogen, oxygen, or sulfur. In some embodiments,the heteroalkyl group can be further substituted with 1, 2, 3, or 4substituent groups as described herein for alkyl groups. The terms“heteroalkenyl” and heteroalkynyl,” as used herein refer to alkenyl andalkynyl groups, as defined herein, respectively, in which one or two ofthe constituent carbon atoms have each been replaced by nitrogen,oxygen, or sulfur. In some embodiments, the heteroalkenyl andheteroalkynyl groups can be further substituted with 1, 2, 3, or 4substituent groups as described herein for alkyl groups.

The term “heteroaryl,” as used herein, represents that subset ofheterocyclyls, as defined herein, which are aromatic: i.e., they contain4n+2 pi electrons within the mono- or multicyclic ring system. Exemplaryunsubstituted heteroaryl groups are of 1 to 12 (e.g., 1 to 11, 1 to 10,1 to 9, 2 to 12, 2 to 11, 2 to 10, or 2 to 9) carbons. In someembodiment, the heteroaryl is substituted with 1, 2, 3, or 4substituents groups as defined for a heterocyclyl group.

The term “heteroarylalkyl” refers to a heteroaryl group, as definedherein, attached to the parent molecular group through an alkylenegroup, as defined herein. Exemplary unsubstituted heteroarylalkyl groupsare from 2 to 32 carbons (e.g., from 2 to 22, from 2 to 18, from 2 to17, from 2 to 16, from 3 to 15, from 2 to 14, from 2 to 13, or from 2 to12 carbons, such as C₁₋₆ alk-C₁₋₁₂ heteroaryl, C₁₋₁₀ alk-C₁₋₁₂heteroaryl, or C₁₋₂₀ alk-C₁₋₁₂ heteroaryl). In some embodiments, thealkylene and the heteroaryl each can be further substituted with 1, 2,3, or 4 substituent groups as defined herein for the respective group.Heteroarylalkyl groups are a subset of heterocyclylalkyl groups.

The term “heterocyclyl,” as used herein represents a 5-, 6- or7-membered ring, unless otherwise specified, containing one, two, three,or four heteroatoms independently selected from the group consisting ofnitrogen, oxygen, and sulfur. The 5-membered ring has zero to two doublebonds, and the 6- and 7-membered rings have zero to three double bonds.Exemplary unsubstituted heterocyclyl groups are of 1 to 12 (e.g., 1 to11, 1 to 10, 1 to 9, 2 to 12, 2 to 11, 2 to 10, or 2 to 9) carbons. Theterm “heterocyclyl” also represents a heterocyclic compound having abridged multicyclic structure in which one or more carbons and/orheteroatoms bridges two non-adjacent members of a monocyclic ring, e.g.,a quinuclidinyl group. The term “heterocyclyl” includes bicyclic,tricyclic, and tetracyclic groups in which any of the above heterocyclicrings is fused to one, two, or three carbocyclic rings, e.g., an arylring, a cyclohexane ring, a cyclohexene ring, a cyclopentane ring, acyclopentene ring, or another monocyclic heterocyclic ring, such asindolyl, quinolyl, isoquinolyl, tetrahydroquinolyl, benzofuryl,benzothienyl and the like. Examples of fused heterocyclyls includetropanes and 1,2,3,5,8,8a-hexahydroindolizine. Heterocyclics includepyrrolyl, pyrrolinyl, pyrrolidinyl, pyrazolyl, pyrazolinyl,pyrazolidinyl, imidazolyl, imidazolinyl, imidazolidinyl, pyridyl,piperidinyl, homopiperidinyl, pyrazinyl, piperazinyl, pyrimidinyl,pyridazinyl, oxazolyl, oxazolidinyl, isoxazolyl, isoxazolidiniyl,morpholinyl, thiomorpholinyl, thiazolyl, thiazolidinyl, isothiazolyl,isothiazolidinyl, indolyl, indazolyl, quinolyl, isoquinolyl,quinoxalinyl, dihydroquinoxalinyl, quinazolinyl, cinnolinyl,phthalazinyl, benzimidazolyl, benzothiazolyl, benzoxazolyl,benzothiadiazolyl, furyl, thienyl, thiazolidinyl, isothiazolyl,triazolyl, tetrazolyl, oxadiazolyl (e.g., 1,2,3-oxadiazolyl), purinyl,thiadiazolyl (e.g., 1,2,3-thiadiazolyl), tetrahydrofuranyl,dihydrofuranyl, tetrahydrothienyl, dihydrothienyl, dihydroindolyl,dihydroquinolyl, tetrahydroquinolyl, tetrahydroisoquinolyl,dihydroisoquinolyl, pyranyl, dihydropyranyl, dithiazolyl, benzofuranyl,isobenzofuranyl, benzothienyl, and the like, including dihydro andtetrahydro forms thereof, where one or more double bonds are reduced andreplaced with hydrogens. Still other exemplary heterocyclyls include:2,3,4,5-tetrahydro-2-oxo-oxazolyl; 2,3-dihydro-2-oxo-1H-imidazolyl;2,3,4,5-tetrahydro-5-oxo-1H-pyrazolyl (e.g.,2,3,4,5-tetrahydro-2-phenyl-5-oxo-1H-pyrazolyl);2,3,4,5-tetrahydro-2,4-dioxo-1H-imidazolyl (e.g.,2,3,4,5-tetrahydro-2,4-dioxo-5-methyl-5-phenyl-1H-imidazolyl);2,3-dihydro-2-thioxo-1,3,4-oxadiazolyl (e.g.,2,3-dihydro-2-thioxo-5-phenyl-1,3,4-oxadiazolyl);4,5-dihydro-5-oxo-1H-triazolyl (e.g., 4,5-dihydro-3-methyl-4-amino5-oxo-1H-triazolyl); 1,2,3,4-tetrahydro-2,4-dioxopyridinyl (e.g.,1,2,3,4-tetrahydro-2,4-dioxo-3,3-diethylpyridinyl);2,6-dioxo-piperidinyl (e.g., 2,6-dioxo-3-ethyl-3-phenylpiperidinyl);1,6-dihydro-6-oxopyridiminyl; 1,6-dihydro-4-oxopyrimidinyl (e.g.,2-(methylthio)-1,6-dihydro-4-oxo-5-methylpyrimidin-1-yl);1,2,3,4-tetrahydro-2,4-dioxopyrimidinyl (e.g.,1,2,3,4-tetrahydro-2,4-dioxo-3-ethylpyrimidinyl);1,6-dihydro-6-oxo-pyridazinyl (e.g.,1,6-dihydro-6-oxo-3-ethylpyridazinyl); 1,6-dihydro-6-oxo-1,2,4-triazinyl(e.g., 1,6-dihydro-5-isopropyl-6-oxo-1,2,4-triazinyl);2,3-dihydro-2-oxo-1H-indolyl (e.g.,3,3-dimethyl-2,3-dihydro-2-oxo-1H-indolyl and2,3-dihydro-2-oxo-3,3′-spiropropane-1H-indol-1-yl);1,3-dihydro-1-oxo-2H-iso-indolyl; 1,3-dihydro-1,3-dioxo-2H-iso-indolyl;1H-benzopyrazolyl (e.g., 1-(ethoxycarbonyl)-1H-benzopyrazolyl);2,3-dihydro-2-oxo-1H-benzimidazolyl (e.g.,3-ethyl-2,3-dihydro-2-oxo-1H-benzimidazolyl);2,3-dihydro-2-oxo-benzoxazolyl (e.g.,5-chloro-2,3-dihydro-2-oxo-benzoxazolyl);2,3-dihydro-2-oxo-benzoxazolyl; 2-oxo-2H-benzopyranyl;1,4-benzodioxanyl; 1,3-benzodioxanyl;2,3-dihydro-3-oxo,4H-1,3-benzothiazinyl;3,4-dihydro-4-oxo-3H-quinazolinyl (e.g.,2-methyl-3,4-dihydro-4-oxo-3H-quinazolinyl);1,2,3,4-tetrahydro-2,4-dioxo-3H-quinazolyl (e.g.,1-ethyl-1,2,3,4-tetrahydro-2,4-dioxo-3H-quinazolyl);1,2,3,6-tetrahydro-2,6-dioxo-7H-purinyl (e.g.,1,2,3,6-tetrahydro-1,3-dimethyl-2,6-dioxo-7H-purinyl);1,2,3,6-tetrahydro-2,6-dioxo-1H-purinyl (e.g.,1,2,3,6-tetrahydro-3,7-dimethyl-2,6-dioxo-1H-purinyl);2-oxobenz[c,d]indolyl; 1,1-dioxo-2H-naphth[1,8-c,d]isothiazolyl; and1,8-naphthylenedicarboxamido. Additional heterocyclics include3,3a,4,5,6,6a-hexahydro-pyrrolo[3,4-b]pyrrol-(2H)-yl, and2,5-diazabicyclo[2.2.1]heptan-2-yl, homopiperazinyl (or diazepanyl),tetrahydropyranyl, dithiazolyl, benzofuranyl, benzothienyl, oxepanyl,thiepanyl, azocanyl, oxecanyl, and thiocanyl. Heterocyclic groups alsoinclude groups of the formula

where

E′ is selected from the group consisting of —N— and —CH—; F′ is selectedfrom the group consisting of —N═CH—, —NH—CH₂—, —NH—C(O)—, —NH—, —CH═N—,—CH₂—NH—, —C(O)—NH—, —CH═CH—, —CH₂—, —CH₂CH₂—, —CH₂O—, —OCH₂—, —O—, and—S—; and G′ is selected from the group consisting of —CH— and —N—. Anyof the heterocyclyl groups mentioned herein may be optionallysubstituted with one, two, three, four or five substituentsindependently selected from the group consisting of: (1) C₁₋₇ acyl(e.g., carboxyaldehyde); (2) C₁₋₂₀ alkyl (e.g., C₁₋₆ alkyl, C₁₋₆alkoxy-C₁₋₆ alkyl, C₁₋₆ alkylsulfinyl-C₁₋₆ alkyl, amino-C₁₋₆ alkyl,azido-C₁₋₆ alkyl, (carboxyaldehyde)-C₁₋₆ alkyl, halo-C₁₋₆ alkyl (e.g.,perfluoroalkyl), hydroxy-C₁₋₆ alkyl, nitro-C₁₋₆ alkyl, or C₁₋₆thioalkoxy-C₁₋₆ alkyl); (3) C₁₋₂₀ alkoxy (e.g., C₁₋₆ alkoxy, such asperfluoroalkoxy); (4) C₁₋₆ alkylsulfinyl; (5) C₆₋₁₀ aryl; (6) amino; (7)C₁₋₆ alk-C₆₋₁₀ aryl; (8) azido; (9) C₃₋₈ cycloalkyl; (10) C₁₋₆ alk-C₃₋₈cycloalkyl; (11) halo; (12) C₁₋₁₂ heterocyclyl (e.g., C₂₋₁₂ heteroaryl);(13) (C₁₋₁₂ heterocyclyl)oxy; (14) hydroxy; (15) nitro; (16) C₁₋₂₀thioalkoxy (e.g., C₁₋₆ thioalkoxy); (17) —(CH₂)_(q)CO₂R^(A′), where q isan integer from zero to four, and R^(A′) is selected from the groupconsisting of (a) C₁₋₆ alkyl, (b) C₆₋₁₀ aryl, (c) hydrogen, and (d) C₁₋₆alk-C₆₋₁₀ aryl; (18) —(CH₂)_(q)CONR^(B′)R^(C′), where q is an integerfrom zero to four and where R^(B′) and R^(C′) are independently selectedfrom the group consisting of (a) hydrogen, (b) C₁₋₆ alkyl, (c) C₆₋₁₀aryl, and (d) C₁₋₆ alk-C₆₋₁₀ aryl; (19) —(CH₂)_(q)SO₂R^(D′), where q isan integer from zero to four and where R^(D′) is selected from the groupconsisting of (a) C₁₋₆ alkyl, (b) C₆₋₁₀ aryl, and (c) C₁₋₆ alk-C₆₋₁₀aryl; (20) —(CH₂)_(q)SO₂NR^(E′)R^(F′), where q is an integer from zeroto four and where each of R^(E′) and R^(F′) is, independently, selectedfrom the group consisting of (a) hydrogen, (b) C₁₋₆ alkyl, (c) C₆₋₁₀aryl, and (d) C₁₋₆ alk-C₆₋₁₀ aryl; (21) thiol; (22) C₆₋₁₀ aryloxy; (23)C₃₋₈ cycloalkoxy; (24) arylalkoxy; (25) C₁₋₆ alk-C₁₋₁₂ heterocyclyl(e.g., C₁₋₆ alk-C₁₋₁₂ heteroaryl); (26) oxo; (27) (C₁₋₁₂heterocyclyl)imino; (28) C₂₋₂₀ alkenyl; and (29) C₂₋₂₀ alkynyl. In someembodiments, each of these groups can be further substituted asdescribed herein. For example, the alkylene group of a C₁-alkaryl or aC₁-alkheterocyclyl can be further substituted with an oxo group toafford the respective aryloyl and (heterocyclyl)oyl substituent group.

The term “hydrocarbon,” as used herein, represents a group consistingonly of carbon and hydrogen atoms.

The term “hydroxyl,” as used herein, represents an —OH group. In someembodiments, the hydroxyl group can be substituted with 1, 2, 3, or 4substituent groups (e.g., O-protecting groups) as defined herein for analkyl.

The term “isomer,” as used herein, means any tautomer, stereoisomer,enantiomer, or diastereomer of any compound of the invention. It isrecognized that the compounds of the invention can have one or morechiral centers and/or double bonds and, therefore, exist asstereoisomers, such as double-bond isomers (i.e., geometric E/Z isomers)or diastereomers (e.g., enantiomers (i.e., (+) or (−)) or cis/transisomers). According to the invention, the chemical structures depictedherein, and therefore the compounds of the invention, encompass all ofthe corresponding stereoisomers, that is, both the stereomerically pureform (e.g., geometrically pure, enantiomerically pure, ordiastereomerically pure) and enantiomeric and stereoisomeric mixtures,e.g., racemates. Enantiomeric and stereoisomeric mixtures of compoundsof the invention can typically be resolved into their componentenantiomers or stereoisomers by well-known methods, such as chiral-phasegas chromatography, chiral-phase high performance liquid chromatography,crystallizing the compound as a chiral salt complex, or crystallizingthe compound in a chiral solvent. Enantiomers and stereoisomers can alsobe obtained from stereomerically or enantiomerically pure intermediates,reagents, and catalysts by well-known asymmetric synthetic methods.

The term “N-protected amino,” as used herein, refers to an amino group,as defined herein, to which is attached one or two N-protecting groups,as defined herein.

The term “N-protecting group,” as used herein, represents those groupsintended to protect an amino group against undesirable reactions duringsynthetic procedures. Commonly used N-protecting groups are disclosed inGreene, “Protective Groups in Organic Synthesis,” 3^(rd) Edition (JohnWiley & Sons, New York, 1999), which is incorporated herein byreference. N-protecting groups include acyl, aryloyl, or carbamyl groupssuch as formyl, acetyl, propionyl, pivaloyl, t-butylacetyl,2-chloroacetyl, 2-bromoacetyl, trifluoroacetyl, trichloroacetyl,phthalyl, o-nitrophenoxyacetyl, α-chlorobutyryl, benzoyl,4-chlorobenzoyl, 4-bromobenzoyl, 4-nitrobenzoyl, and chiral auxiliariessuch as protected or unprotected D, L or D, L-amino acids such asalanine, leucine, phenylalanine, and the like; sulfonyl-containinggroups such as benzenesulfonyl, p-toluenesulfonyl, and the like;carbamate forming groups such as benzyloxycarbonyl,p-chlorobenzyloxycarbonyl, p-methoxybenzyloxycarbonyl,p-nitrobenzyloxycarbonyl, 2-nitrobenzyloxycarbonyl,p-bromobenzyloxycarbonyl, 3,4-dimethoxybenzyloxycarbonyl,3,5-dimethoxybenzyloxycarbonyl, 2,4-dimethoxybenzyloxycarbonyl,4-methoxybenzyloxycarbonyl, 2-nitro-4,5-dimethoxybenzyloxycarbonyl,3,4,5-trimethoxybenzyloxycarbonyl,1-(p-biphenylyl)-1-methylethoxycarbonyl,α,α-dimethyl-3,5-dimethoxybenzyloxycarbonyl, benzhydryloxy carbonyl,t-butyloxycarbonyl, diisopropylmethoxycarbonyl, isopropyloxycarbonyl,ethoxycarbonyl, methoxycarbonyl, allyloxycarbonyl,2,2,2,-trichloroethoxycarbonyl, phenoxycarbonyl, 4-nitrophenoxycarbonyl, fluorenyl-9-methoxycarbonyl, cyclopentyloxycarbonyl,adamantyloxycarbonyl, cyclohexyloxycarbonyl, phenylthiocarbonyl, and thelike, alkaryl groups such as benzyl, triphenylmethyl, benzyloxymethyl,and the like and silyl groups, such as trimethylsilyl, and the like.Preferred N-protecting groups are formyl, acetyl, benzoyl, pivaloyl,t-butylacetyl, alanyl, phenylsulfonyl, benzyl, t-butyloxycarbonyl (Boc),and benzyloxycarbonyl (Cbz).

The term “O-protecting group,” as used herein, represents those groupsintended to protect an oxygen containing (e.g., phenol, hydroxyl, orcarbonyl) group against undesirable reactions during syntheticprocedures. Commonly used O-protecting groups are disclosed in Greene,“Protective Groups in Organic Synthesis,” 3^(rd) Edition (John Wiley &Sons, New York, 1999), which is incorporated herein by reference.Exemplary O-protecting groups include acyl, aryloyl, or carbamyl groups,such as formyl, acetyl, propionyl, pivaloyl, t-butylacetyl,2-chloroacetyl, 2-bromoacetyl, trifluoroacetyl, trichloroacetyl,phthalyl, o-nitrophenoxyacetyl, α-chlorobutyryl, benzoyl,4-chlorobenzoyl, 4-bromobenzoyl, t-butyldimethylsilyl,tri-iso-propylsilyloxymethyl, 4,4′-dimethoxytrityl, isobutyryl,phenoxyacetyl, 4-isopropylpehenoxyacetyl, dimethylformamidino, and4-nitrobenzoyl; alkylcarbonyl groups, such as acyl, acetyl, propionyl,pivaloyl, and the like; optionally substituted arylcarbonyl groups, suchas benzoyl; silyl groups, such as trimethylsilyl (TMS),tert-butyldimethylsilyl (TBDMS), tri-iso-propylsilyloxymethyl (TOM),triisopropylsilyl (TIPS), and the like; ether-forming groups with thehydroxyl, such methyl, methoxymethyl, tetrahydropyranyl, benzyl,p-methoxybenzyl, trityl, and the like; alkoxycarbonyls, such asmethoxycarbonyl, ethoxycarbonyl, isopropoxycarbonyl,n-isopropoxycarbonyl, n-butyloxycarbonyl, isobutyloxycarbonyl,sec-butyloxycarbonyl, t-butyloxycarbonyl, 2-ethylhexyloxycarbonyl,cyclohexyloxycarbonyl, methyloxycarbonyl, and the like;alkoxyalkoxycarbonyl groups, such as methoxymethoxycarbonyl,ethoxymethoxycarbonyl, 2-methoxyethoxycarbonyl, 2-ethoxyethoxycarbonyl,2-butoxyethoxycarbonyl, 2-methoxyethoxymethoxycarbonyl,allyloxycarbonyl, propargyloxycarbonyl, 2-butenoxycarbonyl,3-methyl-2-butenoxycarbonyl, and the like; haloalkoxycarbonyls, such as2-chloroethoxycarbonyl, 2-chloroethoxycarbonyl,2,2,2-trichloroethoxycarbonyl, and the like; optionally substitutedarylalkoxycarbonyl groups, such as benzyloxycarbonyl,p-methylbenzyloxycarbonyl, p-methoxybenzyloxycarbonyl,p-nitrobenzyloxycarbonyl, 2,4-dinitrobenzyloxycarbonyl,3,5-dimethylbenzyloxycarbonyl, p-chlorobenzyloxycarbonyl,p-bromobenzyloxy-carbonyl, fluorenylmethyloxycarbonyl, and the like; andoptionally substituted aryloxycarbonyl groups, such as phenoxycarbonyl,p-nitrophenoxycarbonyl, o-nitrophenoxycarbonyl,2,4-dinitrophenoxycarbonyl, p-methylphenoxycarbonyl,m-methylphenoxycarbonyl, o-bromophenoxycarbonyl,3,5-dimethylphenoxycarbonyl, p-chlorophenoxycarbonyl,2-chloro-4-nitrophenoxy-carbonyl, and the like); substituted alkyl,aryl, and alkaryl ethers (e.g., trityl; methylthiomethyl; methoxymethyl;benzyloxymethyl; siloxymethyl; 2,2,2,-trichloroethoxymethyl;tetrahydropyranyl; tetrahydrofuranyl; ethoxyethyl;1-[2-(trimethylsilyl)ethoxy]ethyl; 2-trimethylsilylethyl; t-butyl ether;p-chlorophenyl, p-methoxyphenyl, p-nitrophenyl, benzyl, p-methoxybenzyl,and nitrobenzyl); silyl ethers (e.g., trimethylsilyl; triethylsilyl;triisopropylsilyl; dimethylisopropylsilyl; t-butyldimethylsilyl;t-butyldiphenylsilyl; tribenzylsilyl; triphenylsilyl; anddiphenymethylsilyl); carbonates (e.g., methyl, methoxymethyl,9-fluorenylmethyl; ethyl; 2,2,2-trichloroethyl; 2-(trimethylsilyl)ethyl;vinyl, allyl, nitrophenyl; benzyl; methoxybenzyl; 3,4-dimethoxybenzyl;and nitrobenzyl); carbonyl-protecting groups (e.g., acetal and ketalgroups, such as dimethyl acetal, 1,3-dioxolane, and the like; acylalgroups; and dithiane groups, such as 1,3-dithianes, 1,3-dithiolane, andthe like); carboxylic acid-protecting groups (e.g., ester groups, suchas methyl ester, benzyl ester, t-butyl ester, orthoesters, and the like;and oxazoline groups.

The term “oxo” as used herein, represents ═O.

The term “stereoisomer,” as used herein, refers to all possibledifferent isomeric as well as conformational forms which a compound maypossess (e.g., a compound of any formula described herein), inparticular all possible stereochemically and conformationally isomericforms, all diastereomers, enantiomers and/or conformers of the basicmolecular structure. Some compounds of the present invention may existin different tautomeric forms, all of the latter being included withinthe scope of the present invention.

The term “sulfonyl,” as used herein, represents an —S(O)₂— group.

The term “thiol,” as used herein represents an —SH group.

DEFINITIONS

As used herein, the term “administered in combination” or “combinedadministration” means that two or more agents are administered to asubject at the same time or within an interval such that there may be anoverlap of an effect of each agent on the patient. In some embodiments,they are administered within 28 days (e.g., with 14, 7, 6, 5, 4, 3, 2,or 1 day(s), within 24 hours (e.g., 12, 6, 5, 4, 3, 2, or 1 hour(s), orwithin about 60, 30, 15, 10, 5, or 1 minute of one another. In someembodiments, the administrations of the agents are spaced sufficientlyclosely together such that a combinatorial (e.g., a synergistic) effectis achieved.

As used herein, “antibody” refers to a polypeptide whose amino acidsequence including immunoglobulins and fragments thereof whichspecifically bind to a designated antigen, or fragments thereof.Antibodies in accordance with the present invention may be of any type(e.g., IgA, IgD, IgE, IgG, or IgM) or subtype (e.g., IgA1, IgA2, IgG1,IgG2, IgG3, or IgG4). Those of ordinary skill in the art will appreciatethat a characteristic sequence or portion of an antibody may includeamino acids found in one or more regions of an antibody (e.g., variableregion, hypervariable region, constant region, heavy chain, light chain,and combinations thereof). Moreover, those of ordinary skill in the artwill appreciate that a characteristic sequence or portion of an antibodymay include one or more polypeptide chains, and may include sequenceelements found in the same polypeptide chain or in different polypeptidechains.

As used herein, “antigen-binding fragment” refers to a portion of anantibody that retains the binding characteristics of the parentantibody.

The term “cancer” refers to any cancer caused by the proliferation ofmalignant neoplastic cells, such as tumors, neoplasms, carcinomas,sarcomas, leukimia's, and lymphomas. A “solid tumor cancer” is a cancercomprising an abnormal mass of tissue, e.g., sarcomas, carcinomas, andlymphomas.

As used herein, the term “compound,” is meant to include allstereoisomers, geometric isomers, and tautomers of the structuresdepicted.

The compounds described herein can be asymmetric (e.g., having one ormore stereocenters). All stereoisomers, such as enantiomers anddiastereomers, are intended unless otherwise indicated. Compounds of thepresent disclosure that contain asymmetrically substituted carbon atomscan be isolated in optically active or racemic forms. Methods on how toprepare optically active forms from optically active starting materialsare known in the art, such as by resolution of racemic mixtures or bystereoselective synthesis. Many geometric isomers of olefins, C═N doublebonds, and the like can also be present in the compounds describedherein, and all such stable isomers are contemplated in the presentdisclosure. Cis and trans geometric isomers of the compounds of thepresent disclosure are described and may be isolated as a mixture ofisomers or as separated isomeric forms.

Compounds of the present disclosure also include tautomeric forms.Tautomeric forms result from the swapping of a single bond with anadjacent double bond and the concomitant migration of a proton.Tautomeric forms include prototropic tautomers which are isomericprotonation states having the same empirical formula and total charge.Examples prototropic tautomers include ketone-enol pairs, amide-imidicacid pairs, lactam-lactim pairs, amide-imidic acid pairs, enamine-iminepairs, and annular forms where a proton can occupy two or more positionsof a heterocyclic system, such as, 1H- and 3H-imidazole, 1H—, 2H- and4H-1,2,4-triazole, 1H- and 2H-isoindole, and 1H- and 2H-pyrazole.Tautomeric forms can be in equilibrium or sterically locked into oneform by appropriate substitution.

At various places in the present specification, substituents ofcompounds of the present disclosure are disclosed in groups or inranges. It is specifically intended that the present disclosure includeeach and every individual subcombination of the members of such groupsand ranges. For example, the term “C₁₋₆ alkyl” is specifically intendedto individually disclose methyl, ethyl, C₃ alkyl, C₄ alkyl, C₅ alkyl,and C₆ alkyl. Herein a phrase of the form “optionally substituted X”(e.g., optionally substituted alkyl) is intended to be equivalent to “X,wherein X is optionally substituted” (e.g., “alkyl, wherein said alkylis optionally substituted”). It is not intended to mean that the feature“X” (e.g. alkyl) per se is optional.

As used herein “detection agent” refers to a molecule or atom which isuseful in diagnosing a disease by locating the cells containing theantigen. Various methods of labeling polypeptides with detection agentsare known in the art. Examples of detection agents include, but are notlimited to, radioisotopes and radionuclides (e.g., ³H, ¹⁴C, ¹⁵N, ¹⁸F,³⁵S, ⁶⁴Cu, ⁶⁷Cu, ⁷⁵Br, ⁷⁶Br, ⁷⁷Br, ⁸⁹Zr, ⁹⁰Y, ⁹⁷Ru, ⁹⁹Tc, ¹⁰⁵Rh, ¹⁰⁹Pd,¹¹¹In, ¹²³I, ¹²⁴I, ¹²⁵I, ¹³¹I, ¹⁴⁹Pm, ¹⁵³Sm, ¹⁶⁶Ho, ¹⁷⁷Lu, ¹⁸⁶Re, ¹⁸⁸Re,¹⁹⁸Au, ¹⁹⁹Au, ²⁰³Pb, ²¹¹At, ²¹²Pb, ²¹²Bi, ²¹³Bi, ²²³Ra, ²²⁵Ac, ²²⁷Th,²²⁹Th), dyes (such as with the biotin-streptavidin complex), contrastagents, luminescent agents (e.g., FITC, rhodamine, lanthanide phosphors,cyanine, and near IR dyes), and magnetic agents, such as gadoliniumchelates.

The term an “effective amount” of an agent (e.g., any of the foregoingconjugates), as used herein, is that amount sufficient to effectbeneficial or desired results, such as clinical results, and, as such,an “effective amount” depends upon the context in which it is beingapplied.

The term “pharmaceutical composition,” as used herein, represents acomposition containing a compound described herein formulated with apharmaceutically acceptable excipient. In some embodiments, thepharmaceutical composition is manufactured or sold with the approval ofa governmental regulatory agency as part of a therapeutic regimen forthe treatment of disease in a mammal. Pharmaceutical compositions can beformulated, for example, for oral administration in unit dosage form(e.g., a tablet, capsule, caplet, gelcap, or syrup); for topicaladministration (e.g., as a cream, gel, lotion, or ointment); forintravenous administration (e.g., as a sterile solution free ofparticulate emboli and in a solvent system suitable for intravenoususe); or in any other formulation described herein.

A “pharmaceutically acceptable excipient,” as used herein, refers anyingredient other than the compounds described herein (for example, avehicle capable of suspending or dissolving the active compound) andhaving the properties of being nontoxic and non-inflammatory in apatient. Excipients may include, for example: antiadherents,antioxidants, binders, coatings, compression aids, disintegrants, dyes(colors), emollients, emulsifiers, fillers (diluents), film formers orcoatings, flavors, fragrances, glidants (flow enhancers), lubricants,preservatives, printing inks, sorbents, suspensing or dispersing agents,sweeteners, or waters of hydration. Exemplary excipients include, butare not limited to: ascorbic acid, histidine, phosphate buffer,butylated hydroxytoluene (BHT), calcium carbonate, calcium phosphate(dibasic), calcium stearate, croscarmellose, crosslinked polyvinylpyrrolidone, citric acid, crospovidone, cysteine, ethylcellulose,gelatin, hydroxypropyl cellulose, hydroxypropyl methylcellulose,lactose, magnesium stearate, maltitol, mannitol, methionine,methylcellulose, methyl paraben, microcrystalline cellulose,polyethylene glycol, polyvinyl pyrrolidone, povidone, pregelatinizedstarch, propyl paraben, retinyl palmitate, shellac, silicon dioxide,sodium carboxymethyl cellulose, sodium citrate, sodium starch glycolate,sorbitol, starch (corn), stearic acid, stearic acid, sucrose, talc,titanium dioxide, vitamin A, vitamin E, vitamin C, and xylitol.

The term “pharmaceutically acceptable salt,” as use herein, representsthose salts of the compounds described here that are, within the scopeof sound medical judgment, suitable for use in contact with the tissuesof humans and animals without undue toxicity, irritation, or allergicresponse. Pharmaceutically acceptable salts are well known in the art.For example, pharmaceutically acceptable salts are described in: Bergeet al., J. Pharmaceutical Sciences 66:1-19, 1977 and in PharmaceuticalSalts: Properties, Selection, and Use, (Eds. P. H. Stahl and C. G.Wermuth), Wiley-VCH, 2008. The salts can be prepared in situ during thefinal isolation and purification of the compounds described herein orseparately by reacting the free base group with a suitable organic acid.

The compounds of the invention may have ionizable groups so as to becapable of preparation as pharmaceutically acceptable salts. These saltsmay be acid addition salts involving inorganic or organic acids or thesalts may, in the case of acidic forms of the compounds of the inventionbe prepared from inorganic or organic bases. Frequently, the compoundsare prepared or used as pharmaceutically acceptable salts prepared asaddition products of pharmaceutically acceptable acids or bases.Suitable pharmaceutically acceptable acids and bases are well-known inthe art, such as hydrochloric, sulphuric, hydrobromic, acetic, lactic,citric, or tartaric acids for forming acid addition salts, and potassiumhydroxide, sodium hydroxide, ammonium hydroxide, caffeine, variousamines for forming basic salts. Methods for preparation of theappropriate salts are well-established in the art.

Representative acid addition salts include acetate, adipate, alginate,ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate,butyrate, camphorate, camphorsulfonate, citrate, cyclopentanepropionate,digluconate, dodecylsulfate, ethanesulfonate, fumarate, glucoheptonate,glycerophosphate, hemisulfate, heptonate, hexanoate, hydrobromide,hydrochloride, hydroiodide, 2-hydroxy-ethanesulfonate, lactobionate,lactate, laurate, lauryl sulfate, malate, maleate, malonate,methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate,oxalate, palmitate, pamoate, pectinate, persulfate, 3-phenylpropionate,phosphate, picrate, pivalate, propionate, stearate, succinate, sulfate,tartrate, thiocyanate, toluenesulfonate, undecanoate, valerate salts,among others. Representative alkali or alkaline earth metal saltsinclude sodium, lithium, potassium, calcium, and magnesium, as well asnontoxic ammonium, quaternary ammonium, and amine cations, including,but not limited to ammonium, tetramethylammonium, tetraethylammonium,methylamine, dimethylamine, trimethylamine, triethylamine, andethylamine.

The term “polypeptide” as used herein refers to a string of at least twoamino acids attached to one another by a peptide bond. In someembodiments, a polypeptide may include at least 3-5 amino acids, each ofwhich is attached to others by way of at least one peptide bond. Thoseof ordinary skill in the art will appreciate that polypeptides caninclude one or more “non-natural” amino acids or other entities thatnonetheless are capable of integrating into a polypeptide chain. In someembodiments, a polypeptide may be glycosylated, e.g., a polypeptide maycontain one or more covalently linked sugar moieties. In someembodiments, a single “polypeptide” (e.g., an antibody polypeptide) maycomprise two or more individual polypeptide chains, which may in somecases be linked to one another, for example by one or more disulfidebonds or other means.

By “subject” is meant a human or non-human animal (e.g., a mammal).

By “substantial identity” or “substantially identical” is meant apolypeptide sequence that has the same polypeptide sequence,respectively, as a reference sequence, or has a specified percentage ofamino acid residues, respectively, that are the same at thecorresponding location within a reference sequence when the twosequences are optimally aligned. For example, an amino acid sequencethat is “substantially identical” to a reference sequence has at least50%, 60%, 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99%, or 100%identity to the reference amino acid sequence. For polypeptides, thelength of comparison sequences will generally be at least 5, 6, 7, 8, 9,10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 50, 75, 90, 100, 150,200, 250, 300, or 350 contiguous amino acids (e.g., a full-lengthsequence). Sequence identity may be measured using sequence analysissoftware on the default setting (e.g., Sequence Analysis SoftwarePackage of the Genetics Computer Group, University of WisconsinBiotechnology Center, 1710 University Avenue, Madison, Wis. 53705). Suchsoftware may match similar sequences by assigning degrees of homology tovarious substitutions, deletions, and other modifications.

As used herein, and as well understood in the art, “to treat” acondition or “treatment” of the condition (e.g., the conditionsdescribed herein such as cancer) is an approach for obtaining beneficialor desired results, such as clinical results. Beneficial or desiredresults can include, but are not limited to, alleviation or ameliorationof one or more symptoms or conditions; diminishment of extent ofdisease, disorder, or condition; stabilized (i.e., not worsening) stateof disease, disorder, or condition; preventing spread of disease,disorder, or condition; delay or slowing the progress of the disease,disorder, or condition; amelioration or palliation of the disease,disorder, or condition; and remission (whether partial or total),whether detectable or undetectable. “Palliating” a disease, disorder, orcondition means that the extent and/or undesirable clinicalmanifestations of the disease, disorder, or condition are lessenedand/or time course of the progression is slowed or lengthened, ascompared to the extent or time course in the absence of treatment.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a graph illustrating binding affinities for select conjugates.

FIG. 2 is a graph illustrating residualization of select conjugates.

FIG. 3 is the amino acid sequence of the CDRs of figitumumab.

FIG. 4 is the amino acid sequence of the variable domains offigitumumab.

FIG. 5 is the amino acid sequence of the heavy chain of figitumumab.

FIG. 6 is the amino acid sequence of the light chain of figitumumab.

DETAILED DESCRIPTION

The present invention relates to linkers that enhance residualization orretention of detection agents in cells after internalization ofpolypeptide-linker-detection agent conjugate. Typically cellinternalizing labeled polypeptides are limited by loss of the labelafter lysosomal processing. This leads to significant loss of signal orpayload at the desired site and potential toxicity in normal tissues. Toovercome this limitation a platform of residualizing linkers capable ofcarrying a wide variety of detection agents has been developed anddemonstrated improved radioactivity retention (residualization) intarget cells when linked to polypeptides.

Polypeptides

Polypeptides include, for example, any of a variety of hematologicagents (including, for instance, erythropoietin, blood-clotting factors,etc.), interferons, colony stimulating factors, antibodies, enzymes, andhormones. The identity of a particular polypeptide is not intended tolimit the present disclosure, and any polypeptide of interest can be apolypeptide in the present methods.

A reference polypeptide described herein can include a target-bindingdomain that binds to a target of interest (e.g., binds to an antigen).For example, a polypeptide, such as an antibody, can bind to atransmembrane polypeptide (e.g., receptor) or ligand (e.g., a growthfactor). Exemplary molecular targets (e.g., antigens) for polypeptidesdescribed herein (e.g., antibodies) include CD proteins such as CD2,CD3, CD4, CD8, CD11, CD19, CD20, CD22, CD25, CD33, CD34, CD40, CD52;members of the ErbB receptor family such as the EGF receptor (EGFR,HER1, ErbB1), HER2 (ErbB2), HER3 (ErbB3) or HER4 (ErbB4) receptor;macrophage receptors such as CRIg; tumor necrosis factors such as TNFαor TRAIL/Apo-2; cell adhesion molecules such as LFA-1, Mac1, p150,95,VLA-4, ICAM-1, VCAM and αvβ3 integrin including either α or β, subunitsthereof (e.g., anti-CD11a, anti-CD18 or anti-CD11 b antibodies); growthfactors and receptors such as EGF, FGFR (e.g., FGFR3) and VEGF; IgE;cytokines such as IL1; cytokine receptors such as IL2 receptor; bloodgroup antigens; flk2/flt3 receptor; obesity (OB) receptor; mpl receptor;CTLA-4; protein C; neutropilins; ephrins and receptors; netrins andreceptors; slit and receptors; chemokines and chemookine receptors suchas CCL5, CCR4, CCR5; amyloid beta; complement factors, such ascomplement factor D; lipoproteins, such as oxidized LDL (oxLDL);lymphotoxins, such as lymphotoxin alpha (LTa). Other molecular targetsinclude Tweak, B7RP-1, proprotein convertase subtilisin/kexin type 9(PCSK9), sclerostin, c-kit, Tie-2, c-fms, and anti-M1.

Antibodies

An IgG antibody consists of two identical light polypeptide chains andtwo identical heavy polypeptide chains linked together by disulfidebonds. The first domain located at the amino terminus of each chain isvariable in amino acid sequence, providing the antibody bindingspecificities found in each individual antibody. These are known asvariable heavy (VH) and variable light (VL) regions. The other domainsof each chain are relatively invariant in amino acid sequence and areknown as constant heavy (CH) and constant light (CL) regions. For an IgGantibody, the light chain includes one variable region (VL) and oneconstant region (CL). An IgG heavy chain includes a variable region(VH), a first constant region (CH1), a hinge region, a second constantregion (CH2), and a third constant region (CH3). In IgE and IgMantibodies, the heavy chain includes an additional constant region(CH4).

Antibodies described herein can include, for example, monoclonalantibodies, polyclonal antibodies, multispecific antibodies, humanantibodies, humanized antibodies, camelized antibodies, chimericantibodies, single-chain Fvs (scFv), disulfide-linked Fvs (sdFv), andanti-idiotypic (anti-Id) antibodies, and antigen-binding fragments ofany of the above. Antibodies can be of any type (e.g., IgG, IgE, IgM,IgD, IgA and IgY), class (e.g., IgG1, IgG2, IgG3, IgG4, IgA1 and IgA2)or subclass.

The term “antigen binding fragment” of an antibody, as used herein,refers to one or more fragments of an antibody that retain the abilityto specifically bind to an antigen. Examples of binding fragmentsencompassed within the term “antigen binding fragment” of an antibodyinclude a Fab fragment, a F(ab′)₂ fragment, a Fd fragment, a Fvfragment, a scFv fragment, a dAb fragment (Ward et al., (1989) Nature341:544-546), and an isolated complementarity determining region (CDR).These antibody fragments can be obtained using conventional techniquesknown to those with skill in the art, and the fragments can be screenedfor utility in the same manner as are intact antibodies.

Antibodies or fragments described herein can be produced by any methodknown in the art for the synthesis of antibodies (see, e.g., Harlow etal., Antibodies: A Laboratory Manual, (Cold Spring Harbor LaboratoryPress, 2nd ed. 1988); Brinkman et al., 1995, J. Immunol. Methods182:41-50; WO 92/22324; WO 98/46645). Chimeric antibodies can beproduced using the methods described in, e.g., Morrison, 1985, Science229:1202, and humanized antibodies by methods described in, e.g., U.S.Pat. No. 6,180,370.

Additional antibodies described herein are bispecific antibodies andmultivalent antibodies, as described in, e.g., Segal et al., J. Immunol.Methods 248:1-6 (2001); and Tutt et al., J. Immunol. 147: 60 (1991).

Insulin-Like Growth Factor 1 (IGF-1R) Antibodies

Insulin-like growth factor 1 receptor is a transmembrane protein foundon the surface of human cells activated by insulin-like growth factor 1(IGF-1) and 2 (IGF-2). IGF-1R is implicated in several cancers includingbreast cancer, non-small cell lung cancer, prostate cancer, coloncancer, sarcoma, and adrenocortical carcinoma, increased levels ofIGF-1R are expressed on the surface of tumor cells of these cancers.

Several IGF-1R antibodies have been developed and investigated for thetreatment of various types of cancers including figitumumab,cixutumumab, AMG479, BIIB002, SCH717454, and R1507. After binding toIGF-1R, these antibodies are internalized into the cell and degraded bylysosomal enzymes. The combination of overexpression on tumor cells andinternalization offers the possibility of delivering detection agentsdirectly to the tumor site while limiting the exposure of normal tissuesto toxic agents.

Modified Polypeptides

The polypeptides of the invention may have a modified amino acidsequence. Modified polypeptides may be substantially identical to thecorresponding reference polypeptide (e.g., the amino acid sequence ofthe modified polypeptide may have at least 50%, 60%, 70%, 75%, 80%, 85%,90%, 95%, 96%, 97%, 98%, 99%, or 100% identity to the amino acidsequence of the reference polypeptide). In certain embodiments, themodification does not destroy significantly a desired biologicalactivity (e.g., binding to IGF-1R). The modification may reduce (e.g.,by at least 5%, 10%, 20%, 25%, 35%, 50%, 60%, 70%, 75%, 80%, 90%, or95%), may have no effect, or may increase (e.g., by at least 5%, 10%,25%, 50%, 100%, 200%, 500%, or 1000%) the biological activity of theoriginal polypeptide. The modified polypeptide may have or may optimizea characteristic of a polypeptide, such as in vivo stability,bioavailability, toxicity, immunological activity, immunologicalidentity, and conjugation properties.

Modifications include those by natural processes, such asposttranslational processing, or by chemical modification techniquesknown in the art. Modifications may occur anywhere in a polypeptideincluding the polypeptide backbone, the amino acid side chains and theamino- or carboxy-terminus. The same type of modification may be presentin the same or varying degrees at several sites in a given polypeptide,and a polypeptide may contain more than one type of modification.Polypeptides may be branched as a result of ubiquitination, and they maybe cyclic, with or without branching. Cyclic, branched, and branchedcyclic polypeptides may result from posttranslational natural processesor may be made synthetically. Other modifications include pegylation,acetylation, acylation, addition of acetomidomethyl (Acm) group,ADP-ribosylation, alkylation, amidation, biotinylation, carbamoylation,carboxyethylation, esterification, covalent attachment to fiavin,covalent attachment to a heme moiety, covalent attachment of anucleotide or nucleotide derivative, covalent attachment of drug,covalent attachment of a marker (e.g., fluorescent or radioactive),covalent attachment of a lipid or lipid derivative, covalent attachmentof phosphatidylinositol, cross-linking, cyclization, disulfide bondformation, demethylation, formation of covalent crosslinks, formation ofcystine, formation of pyroglutamate, formylation, gamma-carboxylation,glycosylation, GPI anchor formation, hydroxylation, iodination,methylation, myristoylation, oxidation, proteolytic processing,phosphorylation, prenylation, racemization, selenoylation, sulfation,transfer-RNA mediated addition of amino acids to proteins such asarginylation and ubiquitination.

A modified polypeptide can also include an amino acid insertion,deletion, or substitution, either conservative or non-conservative(e.g., D-amino acids, desamino acids) in the polypeptide sequence (e.g.,where such changes do not substantially alter the biological activity ofthe polypeptide). In particular, the addition of one or more cysteineresidues to the amino or carboxy terminus of any of the polypeptides ofthe invention can facilitate conjugation of these polypeptides by, e.g.,disulfide bonding. For example, a polypeptide can be modified to includea single cysteine residue at the amino-terminus or a single cysteineresidue at the carboxy-terminus. Amino acid substitutions can beconservative (i.e., wherein a residue is replaced by another of the samegeneral type or group) or non-conservative (i.e., wherein a residue isreplaced by an amino acid of another type). In addition, a naturallyoccurring amino acid can be substituted for a non-naturally occurringamino acid (i.e., non-naturally occurring conservative amino acidsubstitution or a non-naturally occurring non-conservative amino acidsubstitution).

Polypeptides made synthetically can include substitutions of amino acidsnot naturally encoded by DNA (e.g., non-naturally occurring or unnaturalamino acid). Examples of non-naturally occurring amino acids includeD-amino acids, N-protected amino acids, an amino acid having anacetylaminomethyl group attached to a sulfur atom of a cysteine, apegylated amino acid, the omega amino acids of the formulaNH₂(CH₂)_(n)COOH wherein n is 2-6, neutral nonpolar amino acids, such assarcosine, t-butyl alanine, t-butyl glycine, N-methyl isoleucine, andnorleucine. Phenylglycine may substitute for Trp, Tyr, or Phe;citrulline and methionine sulfoxide are neutral nonpolar, cysteic acidis acidic, and ornithine is basic. Proline may be substituted withhydroxyproline and retain the conformation conferring properties.

Analogs may be generated by substitutional mutagenesis and retain thebiological activity of the original polypeptide. Examples ofsubstitutions identified as “conservative substitutions” are shown inTable 1. If such substitutions result in a change not desired, thenother type of substitutions, denominated “exemplary substitutions” inTable 1, or as further described herein in reference to amino acidclasses, are introduced and the products screened.

TABLE 1 Amino acid substitutions Conservative Original residue Exemplarysubstitution substitution Ala (A) Val, Leu, Ile Val Arg (R) Lys, Gln,Asn Lys Asn (N) Gln, His, Lys, Arg Gln Asp (D) Glu Glu Cys (C) Ser SerGln (Q) Asn Asn Glu (E) Asp Asp Gly (G) Pro Pro His (H) Asn, Gln, Lys,Arg Arg Ile (I) Leu, Val, Met, Ala, Phe, norleucine Leu Leu (L)Norleucine, Ile, Val, Met, Ala, Phe Ile Lys (K) Arg, Gln, Asn Arg Met(M) Leu, Phe, Ile Leu Phe (F) Leu, Val, Ile, Ala Leu Pro (P) Gly Gly Ser(S) Thr Thr Thr (T) Ser Ser Trp (W) Tyr Tyr Tyr (Y) Trp, Phe, Thr, SerPhe Val (V) Ile, Leu, Met, Phe, Ala, norleucine Leu

Substantial modifications in function or immunological identity areaccomplished by selecting substitutions that differ significantly intheir effect on maintaining (a) the structure of the polypeptidebackbone in the area of the substitution, for example, as a sheet orhelical conformation, (b) the charge or hydrophobicity of the moleculeat the target site, or (c) the bulk of the side chain.

Detection Agents

A detection agent is a molecule or atom which is administered conjugatedto a polypeptide, e.g., an antibody or antigen-binding fragment thereof,and is useful in diagnosing a disease by locating the cells containingthe antigen, radiation treatment planning, or treatment of a disease.Useful detection agents include, but are not limited to, radioisotopes,dyes (such as with the biotin-strepavidin complex), contrast agents,fluorescent compounds or molecules, luminescent agents, and enhancingagents (e.g., paramagnetic ions) for magnetic resonance imaging (MRI).In order to load a polypeptide component with a detection agent it maybe necessary to react it with a reagent having a linker to which areattached the detection agent or multiple detection agents.

Radioisotopes and Radionuclides

Radioisotopes and radionuclides known in the art for their utility asdetection agents include, but are not limited to, ³H, ¹⁴C, ¹⁵N, ¹⁸F,³⁵S, ⁶⁴Cu, ⁶⁷Cu, ⁷⁵Br, ⁷⁶Br, ⁷⁷Br, ⁸⁹Zr, ⁹⁰Y, ⁹⁷Ru, ⁹⁹Tc, ¹⁰⁵Rh, ¹⁰⁹Pd,¹¹¹In, ¹²³I, ¹²⁴I, ¹²⁵I, ¹³¹I, ¹⁴⁹Pm, ¹⁵³Sm, ¹⁶⁶Ho, ¹⁷⁷Lu, ¹⁸⁶Re, ¹⁸⁸Re,¹⁹⁸Au, ¹⁹⁹Au, ²⁰³Pb, ²¹¹At, ²¹²Pb, ²¹²Pb, ²¹³Bi, ²²³Ra, ²²⁵Ac, ²²⁷Th,and ²²⁹Th.

Metal Chelates

Chelating groups known in the art for their utility as detection agentsinclude, but are not limited to, ethylenediaminetetraacetic acid (EDTA),diethylenetriamiepentaacetic acid (DTPA), porphyrins, polyamines (suchas diaminodioximes, diaminodithiols (N₂S₂ chelates), and triaminothiol(N₃S)), crown ethers, bis-thiosemicarbazones,1,4,7-triazacyclononane-N,N′,N,″-triacetic acid (NOTA),1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA),triethylenetetramime (TETA), poly-oximes, and Re/Tc(I) difunctionalchelates. Chelates are coupled to the linker using standard chemistries.Chelating groups may be used in metal chelate combinations with metals,such as manganese, iron, and gadolinium and isotopes (e.g., isotopes inthe general energy range of 60 to 4,000 key), such as ⁶²Cu, ⁶⁴Cu, ⁶⁷Ga,⁹⁰Y, ^(94m)Tc, ^(99m)Tc, ¹¹¹In, ¹⁷⁷Lu, ²¹³Bi, ²²⁵Ac, ²²⁷Th, and ²²⁹Th.

Luminescent and Fluorescent Agents

Luminescent and fluroescent agents known in the art for their utility asdetection agents include, but are not limited to, indocyanines (eg. Cy3or Cy5), coumarins, fluorescein (eg. FITC), rhodamines, carbopyronins,oxazines, and luciferins (bioluminescent).

Residualizing Linkers

Residualizing linkers are designed to retain the label intracellularlyafter lysosomal degradation of the internalized polypeptide conjugate.

Linkers of the invention have the structure of Formula II:

or a salt thereof,

L¹ and L² are independently absent, optionally substituted C1-C6 alkyl,optionally substituted C1-C6 heteroalkyl, optionally substituted C2-C6alkenyl, optionally substituted C2-C6 heteroalkenyl, optionallysubstituted C2-C6 alkynyl, optionally substituted C2-C6 heteroalkynyl,optionally substituted C3-C10 cycloalkyl, optionally substituted C4-C10cycloalkenyl, optionally substituted C4-C10 cycloalkynyl, optionallysubstituted oxime, optionally substituted hydrazone, optionallysubstituted aryl, optionally substituted heterocyclic, optionallysubstituted C2-C100 polyethylene glycol, or L⁴-B;

L³ is absent or optionally substituted C1-C6 alkyl;

m is 0 or 1;

each R¹ and R² are independently hydrogen, —CH₂CO₂H, or —CH₂CH₂CO₂H;

each R³ and R⁴ is independently hydrogen or R³ and R⁴ combine to formC═O;

n is 0 or 1;

o is an integer between 1 and 10;

R⁵ is hydrogen or L⁴-B;

R⁶ and R⁷ are independently hydrogen, optionally substituted C1-C6hetereoalkyl, or L⁴-B;

R⁹ is —CO₂H, —N═C═O, —N═C═S,

L⁴ is independently absent, optionally substituted C1-C6 alkyl,optionally substituted C1-C6 heteroalkyl, optionally substituted C2-C6alkenyl, optionally substituted C2-C6 heteroalkenyl, optionallysubstituted C2-C6 alkynyl, optionally substituted C2-C6 heteroalkynyl,optionally substituted C3-C10 cycloalkyl, optionally substituted C4-C10cycloalkenyl, optionally substituted C4-C10 cycloalkynyl, optionallysubstituted oxime, optionally substituted hydrazone, optionallysubstituted aryl, or optionally substituted heterocyclic;

B is an organic moiety including a detection agent;

wherein at least one R¹ or R² is —CH₂CO₂H or CH₂CH₂CO₂H;

at least one of L¹ and L² are present and when L¹ or L² are absent, m is0;

and one and only one of L¹, L², R⁵, R⁶, and R⁷ is L⁴-B.

The linkers of the invention comprise three distinct modules thattogether result in their increased effectiveness compared to those knownin the art.

1. Amine Reactive Linker Module:

The R⁹ groups of the linkers of the invention react with free aminegroups of polypeptides and facilitate one-step conjugation reactionswithout additional modification to the antibody structure. The linkerportion of the module may be any length or lipophilicity to allow forenhanced physiochemical properties and biological activity.

2. Negatively Charged or Zwitterionic Residualizer Module:

The negatively charged or zwitterionic backbone is advantageous as itdisplays increased residualization compared to positively charged orneutral backbones and is not taken up by the kidney non-specificallyafter release from the polypeptide in vivo.

3. Detection Agent Module:

The linkers of the invention have an independent module forincorporation of the detection agent allowing for installation of thedetection agent without modification to the residualizing backbone.

Administration and Dosage

The present invention also features pharmaceutical compositions thatcontain a therapeutically effective amount of a compound of theinvention. The composition can be formulated for use in a variety ofdrug delivery systems. One or more physiologically acceptable excipientsor carriers can also be included in the composition for properformulation. Suitable formulations for use in the present invention arefound in Remington's Pharmaceutical Sciences, Mack Publishing Company,Philadelphia, Pa., 17th ed., 1985. For a brief review of methods fordrug delivery, see, e.g., Langer (Science 249:1527-1533, 1990).

The pharmaceutical compositions are intended for parenteral, intranasal,topical, oral, or local administration, such as by a transdermal means,for prophylactic and/or therapeutic treatment. The pharmaceuticalcompositions can be administered parenterally (e.g., by intravenous,intramuscular, or subcutaneous injection), or by oral ingestion, or bytopical application or intraarticular injection at areas affected by thevascular or cancer condition. Additional routes of administrationinclude intravascular, intra-arterial, intratumor, intraperitoneal,intraventricular, intraepidural, as well as nasal, ophthalmic,intrascleral, intraorbital, rectal, topical, or aerosol inhalationadministration. Sustained release administration is also specificallyincluded in the invention, by such means as depot injections or erodibleimplants or components. Thus, the invention provides compositions forparenteral administration that include the above mention agentsdissolved or suspended in an acceptable carrier, preferably an aqueouscarrier, e.g., water, buffered water, saline, or PBS, among others. Thecompositions may contain pharmaceutically acceptable auxiliarysubstances as required to approximate physiological conditions, such aspH adjusting and buffering agents, tonicity adjusting agents, wettingagents, or detergents, among others. The invention also providescompositions for oral delivery, which may contain inert ingredients suchas binders or fillers for the formulation of a unit dosage form, such asa tablet or a capsule. Furthermore, this invention provides compositionsfor local administration, which may contain inert ingredients such assolvents or emulsifiers for the formulation of a cream, an ointment, agel, a paste, or an eye drop.

These compositions may be sterilized by conventional sterilizationtechniques, or may be sterile filtered. The resulting aqueous solutionsmay be packaged for use as is, or lyophilized, the lyophilizedpreparation being combined with a sterile aqueous carrier prior toadministration. The pH of the preparations typically will be between 3and 11, more preferably between 5 and 9 or between 6 and 8, and mostpreferably between 7 and 8, such as 7 to 7.5. The resulting compositionsin solid form may be packaged in multiple single dose units, eachcontaining a fixed amount of the above-mentioned agent or agents, suchas in a sealed package of tablets or capsules. The composition in solidform can also be packaged in a container for a flexible quantity, suchas in a squeezable tube designed for a topically applicable cream orointment.

The compositions containing an effective amount can be administered forradiation treatment planning, diagnostic, or therapeutic treatments.When administered for radiation treatment planning or diagnosticpurposes, the conjugate is administered to a subject in a diagnosticallyeffective dose and/or an amount effective to determine thetherapeutically effective dose. In therapeutic applications,compositions are administered to a subject (e.g., a human) alreadysuffering from a condition (e.g., cancer) in an amount sufficient tocure or at least partially arrest the symptoms of the disorder and itscomplications. An amount adequate to accomplish this purpose is definedas a “therapeutically effective amount,” an amount of a compoundsufficient to substantially improve at least one symptom associated withthe disease or a medical condition. For example, in the treatment ofcancer, an agent or compound that decreases, prevents, delays,suppresses, or arrests any symptom of the disease or condition would betherapeutically effective. A therapeutically effective amount of anagent or compound is not required to cure a disease or condition butwill provide a treatment for a disease or condition such that the onsetof the disease or condition is delayed, hindered, or prevented, or thedisease or condition symptoms are ameliorated, or the term of thedisease or condition is changed or, for example, is less severe orrecovery is accelerated in an individual. The conjugates of theinvention can be used for the treatment of cancer by administering to asubject a first dose of any of the foregoing conjugates or compositionsin an amount effective for radiation treatment planning, followed byadministering a second dose of any of the foregoing conjugates orcompositions in a therapeutically effective amount.

Amounts effective for these uses may depend on the severity of thedisease or condition and the weight and general state of the subject.The therapeutically effective amount of the compositions of theinvention and used in the methods of this invention applied to mammals(e.g., humans) can be determined by the ordinarily-skilled artisan withconsideration of individual differences in age, weight, and thecondition of the mammal. Because certain conjugates of the inventionexhibit an enhanced ability to target cancer cells and residualize, thedosage of the compounds of the invention can be lower than (e.g., lessthan or equal to about 90%, 75%, 50%, 40%, 30%, 20%, 15%, 12%, 10%, 8%,7%, 6%, 5%, 4%, 3%, 2%, 1%, 0.5%, or 0.1% of) the equivalent dose ofrequired for a therapeutic effect of the unconjugated agent. The agentsof the invention are administered to a subject (e.g., a mammal, such asa human) in an effective amount, which is an amount that produces adesirable result in a treated subject. Therapeutically effective amountscan also be determined empirically by those of skill in the art.

Single or multiple administrations of the compositions of the inventionincluding an effective amount can be carried out with dose levels andpattern being selected by the treating physician. The dose andadministration schedule can be determined and adjusted based on theseverity of the disease or condition in the subject, which may bemonitored throughout the course of treatment according to the methodscommonly practiced by clinicians or those described herein.

The conjugates of the present invention may be used in combination witheither conventional methods of treatment or therapy or may be usedseparately from conventional methods of treatment or therapy.

When the compounds of this invention are administered in combinationtherapies with other agents, they may be administered sequentially orconcurrently to an individual. Alternatively, pharmaceuticalcompositions according to the present invention may be comprised of acombination of a compound of the present invention in association with apharmaceutically acceptable excipient, as described herein, and anothertherapeutic or prophylactic agent known in the art.

By “antiproliferative” is meant any anticancer agent, including thoseantiproliferative agents listed in Table 2, any of which can be used incombination with a conjugate of the invention to treat the medicalconditions recited herein. Antiproliferative agents also includeorgano-platinum derivatives, naphtoquinone and benzoquinone derivatives,chrysophanic acid and anthroquinone derivatives thereof.

TABLE 2 Alkylating agents Busulfan Chlorambucil dacarbazine procarbazineifosfamide altretamine hexamethylmelamine estramustine phosphatethiotepa mechlorethamine dacarbazine streptozocin lomustine temozolomidecyclophosphamide Semustine Platinum agents spiroplatin lobaplatin(Aeterna) tetraplatin satraplatin (Johnson Matthey) ormaplatin BBR-3464(Hoffmann-La Roche) iproplatin SM-11355 (Sumitomo) ZD-0473 (AnorMED)AP-5280 (Access) oxaliplatin cisplatin carboplatin Antimetabolitesazacytidine trimetrexate Floxuridine deoxycoformycin2-chlorodeoxyadenosine pentostatin 6-mercaptopurine hydroxyurea6-thioguanine decitabine (SuperGen) cytarabine clofarabine (Bioenvision)2-fluorodeoxy cytidine irofulven (MGI Pharma) methotrexate DMDC(Hoffmann-La Roche) tomudex ethynylcytidine (Taiho) fludarabinegemcitabine raltitrexed capecitabine Topoisomerase amsacrine exatecanmesylate (Daiichi) inhibitors epirubicin quinamed (ChemGenex) etoposidegimatecan (Sigma-Tau) teniposide or mitoxantrone diflomotecan(Beaufour-Ipsen) 7-ethyl-10-hydroxy-camptothecin TAS-103 (Taiho)dexrazoxanet (TopoTarget) elsamitrucin (Spectrum) pixantrone(Novuspharma) J-107088 (Merck & Co) rebeccamycin analogue (Exelixis)BNP-1350 (BioNumerik) BBR-3576 (Novuspharma) CKD-602 (Chong Kun Dang)rubitecan (SuperGen) KW-2170 (Kyowa Hakko) irinotecan (CPT-11)hydroxycamptothecin (SN-38) topotecan Antitumor antibiotics valrubicinazonafide therarubicin anthrapyrazole idarubicin oxantrazole rubidazoneIosoxantrone plicamycin MEN-10755 (Menarini) porfiromycin GPX-100 (GemPharmaceuticals) mitoxantrone (novantrone) Epirubicin amonafidemitoxantrone doxorubicin Antimitotic colchicine E7010 (Abbott) agentsvinblastine PG-TXL (Cell Therapeutics) vindesine IDN 5109 (Bayer)dolastatin 10 (NCI) A 105972 (Abbott) rhizoxin (Fujisawa) A 204197(Abbott) mivobulin (Warner-Lambert) LU 223651 (BASF) cemadotin (BASF) D24851 (ASTAMedica) RPR 109881A (Aventis) ER-86526 (Eisai) TXD 258(Aventis) combretastatin A4 (BMS) epothilone B (Novartis)isohomohalichondrin-B (PharmaMar) T 900607 (Tularik) ZD 6126(AstraZeneca) T 138067 (Tularik) AZ10992 (Asahi) cryptophycin 52 (EliLilly) IDN-5109 (Indena) vinflunine (Fabre) AVLB (Prescient NeuroPharma)auristatin PE (Teikoku Hormone) azaepothilone B (BMS) BMS 247550 (BMS)BNP-7787 (BioNumerik) BMS 184476 (BMS) CA-4 prodrug (OXiGENE) BMS 188797(BMS) dolastatin-10 (NIH) taxoprexin (Protarga) CA-4 (OXiGENE) SB 408075(GlaxoSmithKline) docetaxel Vinorelbine vincristine Trichostatin Apaclitaxel Aromatase inhibitors aminoglutethimide YM-511 (Yamanouchi)atamestane (BioMedicines) formestane letrozole exemestane anastrazoleThymidylate pemetrexed (Eli Lilly) nolatrexed (Eximias) synthaseinhibitors ZD-9331 (BTG) CoFactor ™ (BioKeys) DNA antagoniststrabectedin (PharmaMar) edotreotide (Novartis) glufosfamide (BaxterInternational) mafosfamide (Baxter International) albumin + 32P (IsotopeSolutions) apaziquone (Spectrum thymectacin (NewBiotics)Pharmaceuticals) O6 benzyl guanine (Paligent) Farnesyltransferasearglabin (NuOncology Labs) tipifarnib (Johnson & Johnson) inhibitorslonafarnib (Schering-Plough) perillyl alcohol (DOR BioPharma)BAY-43-9006 (Bayer) Pump inhibitors CBT-1 (CBA Pharma) zosuquidartrihydrochloride (Eli Lilly) tariquidar (Xenova) biricodar dicitrate(Vertex) MS-209 (Schering AG) Histone tacedinaline (Pfizer)pivaloyloxymethyl butyrate (Titan) acetyltransferase SAHA (Aton Pharma)depsipeptide (Fujisawa) inhibitors MS-275 (Schering AG)Metalloproteinase Neovastat (Aeterna Laboratories) CMT-3 (CollaGenex)inhibitors marimastat (British Biotech) BMS-275291 (Celltech)Ribonucleoside gallium maltolate (Titan) tezacitabine (Aventis)reductase inhibitors triapine (Vion) didox (Molecules for Health) TNFalpha virulizin (Lorus Therapeutics) revimid (Celgene)agonists/antagonists CDC-394 (Celgene) Endothelin A atrasentan (Abbott)YM-598 (Yamanouchi) receptor antagonist ZD-4054 (AstraZeneca) Retinoicacid fenretinide (Johnson & Johnson) alitretinoin (Ligand) receptoragonists LGD-1550 (Ligand) Immuno-modulators interferon dexosome therapy(Anosys) oncophage (Antigenics) pentrix (Australian Cancer GMK(Progenics) Technology) adenocarcinoma vaccine (Biomira) ISF-154(Tragen) CTP-37 (AVI BioPharma) cancer vaccine (Intercell) IRX-2(Immuno-Rx) norelin (Biostar) PEP-005 (Peplin Biotech) BLP-25 (Biomira)synchrovax vaccines (CTL Immuno) MGV (Progenics) melanoma vaccine (CTLImmuno) β-alethine (Dovetail) p21 RAS vaccine (GemVax) CLL therapy(Vasogen) MAGE-A3 (GSK) Ipilimumab (BMS), nivolumab (BMS) CM-10 (cCamBiotherapeutics) abatacept (BMS) MPDL3280A (Genentech) Hormonal andestrogens dexamethasone antihormonal agents conjugated estrogensprednisone ethinyl estradiol methylprednisolone chlortrianisenprednisolone idenestrol aminoglutethimide hydroxyprogesterone caproateleuprolide medroxyprogesterone octreotide testosterone mitotanetestosterone propionate; P-04 (Novogen) fluoxymesterone2-methoxyestradiol (EntreMed) methyltestosterone arzoxifene (Eli Lilly)diethylstilbestrol tamoxifen megestrol toremofine bicalutamide goserelinflutamide Leuporelin nilutamide bicalutamide Photodynamic talaporfin(Light Sciences) Pd-bacteriopheophorbide (Yeda) agents Theralux(Theratechnologies) lutetium texaphyrin (Pharmacyclics) motexafingadolinium hypericin (Pharmacyclics) Kinase Inhibitors imatinib(Novartis) EKB-569 (Wyeth) leflunomide (Sugen/Pharmacia) kahalide F(PharmaMar) ZD1839 (AstraZeneca) CEP-701 (Cephalon) erlotinib (OncogeneScience) CEP-751 (Cephalon) canertinib (Pfizer) MLN518 (Millenium)squalamine (Genaera) PKC412 (Novartis) SU5416 (Pharmacia) Phenoxodiol(Novogen) SU6668 (Pharmacia) C225 (ImClone) ZD4190 (AstraZeneca) rhu-Mab(Genentech) ZD6474 (AstraZeneca) MDX-H210 (Medarex) vatalanib (Novartis)2C4 (Genentech) PKI166 (Novartis) MDX-447 (Medarex) GW2016(GlaxoSmithKline) ABX-EGF (Abgenix) EKB-509 (Wyeth) IMC-1C11 (ImClone)trastuzumab (Genentech) Tyrphostins OSI-774 (Tarceva ™) Gefitinib(Iressa) CI-1033 (Pfizer) PTK787 (Novartis) SU11248 (Pharmacia) EMD72000 (Merck) RH3 (York Medical) Emodin Genistein Radicinol RadicinolVemurafenib (B-Raf enzyme Met-MAb (Roche) inhibitor, Daiichi Sankyo)SR-27897 (CCK A inhibitor, Sanofi-Synthelabo) ceflatonin (apoptosispromotor, ChemGenex) tocladesine (cyclic AMP agonist, Ribapharm)BCX-1777 (PNP inhibitor, BioCryst) alvocidib (CDK inhibitor, Aventis)ranpirnase (ribonuclease stimulant, Alfacell) CV-247 (COX-2 inhibitor,Ivy Medical) galarubicin (RNA synthesis inhibitor, Dong-A) P54 (COX-2inhibitor, Phytopharm) tirapazamine (reducing agent, SRI CapCell ™(CYP450 stimulant, Bavarian Nordic) International) GCS-100 (gal3antagonist, GlycoGenesys) N-acetylcysteine (reducing agent, Zambon)G17DT immunogen (gastrin inhibitor, Aphton) R-flurbiprofen (NF-kappaBinhibitor, Encore) efaproxiral (oxygenator, Allos Therapeutics) 3CPA(NF-kappaB inhibitor, Active Biotech) PI-88 (heparanase inhibitor,Progen) seocalcitol (vitamin D receptor agonist, Leo) tesmilifene(histamine antagonist, YM 131-I-TM-601 (DNA antagonist, BioSciences)TransMolecular) histamine (histamine H2 receptor agonist, Maxim)eflornithine (ODC inhibitor, ILEX Oncology) tiazofurin (IMPDH inhibitor,Ribapharm) minodronic acid (osteoclast inhibitor, cilengitide (integrinantagonist, Merck KGaA) Yamanouchi) SR-31747 (IL-1 antagonist,Sanofi-Synthelabo) indisulam (p53 stimulant, Eisai) CCI-779 (mTOR kinaseinhibitor, Wyeth) aplidine (PPT inhibitor, PharmaMar) exisulind (PDE Vinhibitor, Cell Pathways) gemtuzumab (CD33 antibody, Wyeth Ayerst)CP-461 (PDE V inhibitor, Cell Pathways) PG2 (hematopoiesis enhancer,AG-2037 (GART inhibitor, Pfizer) Pharmagenesis) WX-UK1 (plasminogenactivator inhibitor, Wilex) Immunol ™ (triclosan oral rinse, Endo)PBI-1402 (PMN stimulant, ProMetic LifeSciences) triacetyluridine(uridine prodrug, Wellstat) bortezomib (proteasome inhibitor,Millennium) SN-4071 (sarcoma agent, Signature SRL-172 (T cell stimulant,SR Pharma) BioScience) TLK-286 (glutathione S transferase inhibitor,TransMID-107 ™ (immunotoxin, KS Biomedix) Telik) PCK-3145 (apoptosispromotor, Procyon) PT-100 (growth factor agonist, Point doranidazole(apoptosis promotor, Pola) Therapeutics) CHS-828 (cytotoxic agent, Leo)midostaurin (PKC inhibitor, Novartis) trans-retinoic acid(differentiator, NIH) bryostatin-1 (PKC stimulant, GPC Biotech) MX6(apoptosis promotor, MAXIA) CDA-II (apoptosis promotor, Everlife)apomine (apoptosis promotor, ILEX Oncology) SDX-101 (apoptosis promotor,Salmedix) urocidin (apoptosis promotor, Bioniche) rituximab (CD20antibody, Genentech Ro-31-7453 (apoptosis promotor, La Roche) carmustinebrostallicin (apoptosis promotor, Pharmacia) Mitoxantrone β-lapachoneBleomycin gelonin Absinthin cafestol Chrysophanic acid kahweol Cesiumoxides caffeic acid BRAF inhibitors, Tyrphostin AG PDL1 inhibitors PD-1inhibitors MEK inhibitors CTLA-4 inhibitors bevacizumab sorafenibangiogenesis inhibitors dabrafenib

The following Examples are intended to illustrate the synthesis of arepresentative number of conjugates and the use of these conjugates forthe treatment of cancer. Accordingly, the Examples are intended toillustrate but not to limit the invention. Additional compounds notspecifically exemplified may be synthesized using conventional methodsin combination with the methods described herein.

EXAMPLES General Methods

All reactions were carried out under a nitrogen atmosphere with drysolvents under anhydrous conditions, unless otherwise specified.Reactions were monitored by thin-layer chromatography (TLC) carried outon 0.25 mm E. Merck silica gel plates (60E-254) using UV light and anethanolic solution of phosphomolybdic acid and cerium sulfate followedby heating as visualizing strategies. E. Merck silica gel (60, particlesize 0.040-0.063 mm) was used for flash column chromatography.Analytical HPLC-MS was performed using a Waters Acquity HPLC-MS systemcomprised of a Waters Acquity Binary Solvent Manager, a Waters AcquitySample Manager (samples cooled to 10° C.), a Water Acquity ColumnManager (column temperature 30° C.), a Waters Acquity Photodiode ArrayDetector (monitoring at 254 nm and 214 nm), a Waters Acquity TQD withelectrosparay ionization and a Waters Acquity BEH C18, 2.1×50 (1.7 μm)column. Preparative HPLC was performed using a Waters HPLC systemcomprised of a Waters 1525 Binary HPLC pump, a Waters 2489 UV/VisibleDetector (monitoring at 254 nm and 214 nm) and a Waters XBridge Prepphenyl or C18 19×100 mm (5 μm) column. Analysis and purification ofradioactive materials were performed using similar HPLC systems equippedwith an additional Bioscan Flow Count radiodetector (FC-3300). SEC wasperformed on a Phenomenex BioSep s2000, 7.8×300 mm, 1 mL/min, A220/280nm under isocratic conditions with mobile phase of 100 mM PO4- at pH6.8.

HPLC elution method 1: Waters Acquity BEH C18 2.1×50 (1.7 μm) column;mobile phase A: H₂O (0.1% v/v TFA); mobile phase B: acetonitrile (0.1%v/v TFA); flow rate=0.3 mL/min; 0→3 min, 90→0% A; 3→4 min, 0% A.

HPLC elution method 2: Waters XBridge Prep Phenyl 19×100 mm (5 μm)column; mobile phase A: H₂O (0.5% v/v AcOH); mobile phase B:Acetonitrile (0.5% v/v AcOH); flow rate: 10 mL/min; 0→10 minutes,50%→30% A; 10→12 minutes, 30% A.

HPLC elution method 3: Waters XBridge Prep C18 OBD 19×100 mm (5 μm)column; mobile phase A: H₂O (0.1% v/v TFA); mobile phase B: acetonitrile(0.1% v/v TFA); flow rate: 11 mL/min; 0→11.5 minutes, 75%→56% A.

HPLC elution method 4: Waters Acquity BEH C18 2.1×50 (1.7 μm) column;mobile phase A: H₂O (0.1% v/v TFA); mobile phase B: acetonitrile (0.1%v/v TFA); flow rate=0.3 mL/min; 0→8 min, 90→0% A.

HPLC elution method 5: Waters XBridge Prep C18 OBD 19×100 mm (5 μm)column; mobile phase A: H₂O (0.1% v/v TFA); mobile phase B: acetonitrile(0.1% v/v TFA); flow rate: 10 mL/min; 0→10 minutes, 80%→50% A.

HPLC elution method 6: Waters XBridge Prep Phenyl 19×100 mm (5 μm)column; mobile phase A: H₂O (0.5% v/v AcOH); mobile phase B:Acetonitrile (0.5% v/v AcOH); flow rate: 10 mL/min; 0→2 minutes, 46% A;2→13 minutes, 46%→30% A.

Example 1 Synthesis of CPD-1022 and CPD-1023

Amine Intermediate:

The tetrapeptide backbone of CPD-1022 (Fmoc-D-Glu-D-Glu-D-Glu-D-Lys-OH)was prepared using standard solid phase peptide synthesis techniques. Toa solution of the backbone tetrapeptide (100 mg, 0.132 mmol) in 1.5 mLof DMF were added 2,3,5,6-tetrafluorophenyl 3-tributylstannylbenzoate(191 mg, 0.341 mmol) and diisopropylethylamine (40 μL, 0.229 mmol) atroom temperature. The reaction solution was stirred for 1 hour thendiluted with a mixture of cold diethyl ether and hexanes (45 mL, 4:1v/v). The resultant suspension was centrifuged at 4000 rpm for 15minutes and the white precipitate (138 mg, 0.120 mmol, 91% yield) wascollected and washed with 20 mL of cold diethyl ether. To this whitesolid (90 mg, 0.078 mmol) was added 1.0 mL of 20% piperidine/DMF and themixture was stirred at room temperature for 20 minutes before dilutionwith cold diethyl ether (45 mL). The resultant white precipitate(collected after centrifuging at 4000 rpm for 15 minutes) was taken upin acetonitrile/water/AcOH (4.0 mL, 45:45:10 v/v/v) and loaded on a C-18plus Seppak SPE cartridge. The cartridge was flushed withacetonitrile/water (20 mL, 1:2 v/v) first to remove residual piperidineand the desired product was eluted off the cartridge withacetonitrile/water (200 mL, 3:1 v/v). The final product was obtained aswhite amorphous powder after evaporation of solvents (65 mg, 0.07 mmol,90% yield).

HPLC-MS elution method 1; retention time: 3.03 min; MS (positive ESI):found m/z 928.0 [M+H]⁺. C₄₀H₆₆N₅O₁₂Sn (calc. 928.3).

Synthesis of CPD-1022:

To a solution of the above free amine (24 mg, 0.026 mmol) in DMF (0.5mL) were added an excess of isophthalic acid NHS ester (100 mg, 0.278mmol, 10.7 equiv.) and diisopropylethylamine (6.0 μL, 0.035 mmol) atroom temperature. LC-MS indicated the reaction was complete within 10minutes. Cold ether was added to precipitate the crude product, whichwas collected after centrifuging at 4000 rpm for 15 minutes.Purification was accomplished by preparative HPLC (method 2, retentiontime: 9.9 min) to afford CPD-1022 in 62% yield (19 mg, 0.016 mmol).

HPLC-MS elution method 1; retention time: 3.30 min; MS (positive ESI):found m/z 1173.1 [M+H]⁺. C₅₂H₇₃N₆O₁₇Sn (calc. 1173.4).

¹H NMR (700 MHz, DMSO-d₆) δ 8.92 (1H, d, J=7.4 Hz), 8.60 (1H, s), 8.44(1H, t, J=5.5 Hz), 8.32 (1H, d, J=7.8 Hz), 8.26 (1H, d, J=7.8 Hz), 8.16(1H, d, J=7.6 Hz), 8.14 (1H, m), 7.99 (1H, d, J=7.4 Hz), 7.89 (1H, s),7.77 (1H, t, J=7.8 Hz), 7.74 (1H, d, J=7.8 Hz), 7.56 (1H, d, J=7.1 Hz),7.40 (1H, dd, J=7.8, 7.1 Hz), 4.48 (1H, m), 4.32-4.26 (2H, m), 4.13 (1H,m), 3.24 (2H, dt, J=5.5, 6.8 Hz), 2.92 (4H, s), 2.40-2.20 (6H, m), 2.05(1H, m), 1.97-1.86 (3H, m), 1.82-1.69 (3H, m), 1.63 (1H, m), 1.58-1.43(8H, m), 1.41-1.33 (2H, m), 1.30 (6H, m), 1.08 (6H, m), 0.86 (9H, t,J=7.3 Hz) (Sn—H couplings are not presented for simplicity);

¹³C NMR (175 MHz, DMSO-d₆) δ 174.00, 173.44, 171.17, 171.08, 170.90,170.22, 166.48, 165.19, 161.44, 141.37, 138.75, 135.12, 134.75, 134.46,133.99, 132.58, 129.69, 128.96, 127.65, 126.78, 124.58, 53.11, 52.01,51.89, 51.58, 39.01, 30.61, 30.52, 30.14, 29.98, 28.90, 28.56, 27.48,27.28, 26.79, 26.65, 25.56, 22.99, 13.54, 9.18 (two carboxyls missingdue to signal overlapping; Sn—C couplings are not presented forsimplicity).

CPD-1023:

To a solution of CPD-1022 (5.0 mg, 4.3 μmol) in acetonitrile/water (0.5mL, 3:1 v/v) was added iodine (2.0 mg, 7.9 μmol). Excess of iodine wasquenched by the addition of Na₂S₂O₅ (0.1 mL, 0.1 M aq.) and the reactionmixture purified by preparative HPLC (method 3, retention time: 10.4min) to give the desired product in 85% yield (3.7 mg, 3.7 μmol).

HPLC-MS elution method 1; retention time: 1.79 min; MS (positive ESI):found m/z 1009.4 [M+H]⁺. C₄₀H₄₆IN₆O₁₇ (calc. 1009.2).

¹H NMR (700 MHz, DMSO-d₆) δ 8.92 (1H, d, J=7.5 Hz), 8.60 (1H, s), 8.55(1H, t, J=5.5 Hz), 8.32 (1H, d, J=7.9 Hz), 8.26 (1H, d, J=7.8 Hz), 8.18(1H, s), 8.17-8.12 (2H, m), 7.98 (1H, d, J=7.8 Hz), 7.88 (1H, d, J=7.7Hz), 7.85 (1H, d, J=7.9 Hz), 7.78 (1H, dd, J=7.9, 7.8 Hz), 7.27 (1H, dd,J=7.9, 7.7 Hz), 4.47 (1H, m), 4.32-4.25 (2H, m), 4.13 (1H, m), 3.23 (2H,dt, J=5.5, 6.8 Hz), 2.92 (4H, s), 2.41-2.22 (6H, m), 2.05 (1H, m),1.97-1.88 (3H, m), 1.81-1.70 (3H, m), 1.63 (1H, m), 1.55-1.48 (2H, m),1.40-1.33 (2H, m);

¹³C NMR (175 MHz, DMSO-d₆) δ 174.01, 173.99, 173.98, 173.44, 171.19,171.10, 170.91, 170.23, 165.20, 164.53, 161.45, 139.53, 136.63, 135.56,135.12, 134.47, 132.59, 130.44, 129.70, 128.96, 126.63, 124.57, 94.62,53.13, 51.96, 51.89, 51.55, 39.09, 30.54, 30.51, 30.12, 29.98, 28.65,27.47, 27.27, 26.78, 25.56, 22.93.

Example 2 Synthesis of CPD-1052

CPD-1051:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 1; retention time: 3.60 min; MS (positive ESI):found m/z 1224.7 [M+H]⁺. C₅₄H₇₀F₄N₅O₁₅Sn (calc. 1224.4).

CPD-1052:

The title compound was prepared from CPD-1051 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 2.19 min; MS (positive ESI):found m/z 1060.4 [M+H]⁺. C₄₂H₄₃F₄IN₅O₁₅ (calc. 1060.2).

Example 3 Synthesis of CPD-1055

CPD-1054:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 1; retention time: 3.27 min; MS (positive ESI):found m/z 1179.6 [M+H]⁺. C₅₂H₇₉N₆O₁₇Sn (calc. 1179.4).

CPD-1055:

The title compound was prepared from CPD-1054 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 1.75 min; MS (positive ESI):found m/z 1014.9 [M+H]⁺. C₄₀H₅₂IN₆O₁₇ (calc. 1015.2).

Example 4 Synthesis of CPD-1065

CPD-1064:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 1; retention time: 2.43 min; MS (positive ESI):found m/z 1174.6 [M+H]⁺. C₅₁H₇₂N₇O₁₇Sn (calc. 1174.4).

CPD-1065:

The title compound was prepared from CPD-1064 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 1.54 min; MS (positive ESI):found m/z 1010.4 [M+H]⁺. C₃₉H₄₅IN₇O₁₇ (calc. 1010.2).

Example 5 Synthesis of CPD-1067

CPD-1066:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 4; retention time: 5.97 min; MS (positive ESI):found m/z 1173.7 [M+H]⁺. C₅₂H₇₃N₆O₁₇Sn (calc. 1173.4).

CPD-1067:

The title compound was prepared from CPD-1066 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 4; retention time: 3.05 min; MS (positive ESI):found m/z 1009.4 [M+H]⁺. C₄₀H₄₆IN₆O₁₇ (calc. 1009.2).

Example 6 Synthesis of CPD-1048

CPD-1047:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 4; retention time: 2.31 min; MS (positive ESI):found m/z 927.5 [M+H]⁺. C₄₂H₅₁N₆O₁₈ (calc. 927.3).

CPD-1048:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 4. retention time: 2.76 min; MS (positive ESI):found m/z 1053.4 [M+H]⁺. C₄₂H₅₀IN₆O₁₈ (calc. 1053.2).

Example 7 Synthesis of CPD-1107

CPD-1107:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 4; retention time: 1.63 min; MS (positive ESI):found m/z 1165.7 [M+H]⁺. C₄₉H₆₉N₁₀O₂₃ (calc. 1165.4).

Example 8 Synthesis of CPD-1072

CPD-1071:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 1; retention time: 3.27 min; MS (positive ESI):found m/z 1153.7 [M+H]⁺. C₅₀H₇₇N₆O₁₇Sn (calc. 1153.4).

CPD-1072:

The title compound was prepared from CPD-1071 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 1.71 min; MS (positive ESI):found m/z 989.4 [M+H]⁺. C₃₈H₅₀IN₆O₁₇ (calc. 989.2).

Example 9 Synthesis of CPD-1081

CPD-1080:

The title compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 1; retention time: 3.23 min; MS (positive ESI):found m/z 1213.2 [M+H]⁺. C₅₂H₈₁N₆O₁₉Sn (calc. 1213.5).

CPD-1081:

The title compound was prepared from CPD-1080 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 1.68 min; MS (positive ESI):found m/z 1049.1 [M+H]⁺. C₄₀H₅₃IN₆O₁₉ (calc. 1049.2).

Example 10 Synthesis of CPD-1085

CPD-1084:

Starting from a β-peptide backbone (Fmoc-β-Glu-β-Glu-β-Glu-D-Lys-OH),which was prepared using standard solid phase peptide synthesistechniques, the title compound was prepared in a similar manner to thesynthesis of CPD-1022.

HPLC-MS elution method 1; retention time: 3.21 min; MS (positive ESI):found m/z 1179.7 [M+H]⁺. C₅₂H₇₉N₆O₁₇Sn (calc. 1179.4).

CPD-1085:

The title compound was prepared from CPD-1084 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 1.68 min; MS (positive ESI):found m/z 1015.6 [M+H]⁺. C₄₀H₅₂N₆O₁₇ (calc. 1015.2).

Example 11 Synthesis of CPD-1092

CPD-1091:

Starting from the hybrid backbone Fmoc-Nglu-Nglu-Nglu-D-Lys-OH, thetitle compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 4; retention time: 6.60 min; MS (positive ESI):found m/z 1173.5 [M+H]⁺. C₅₂H₇₃N₆O₁₇Sn (calc. 1173.4).

CPD-1092:

The title compound was prepared in a similar manner to the synthesis ofCPD-1023.

HPLC-MS elution method 1; retention time: 1.74 min; MS (positive ESI):found m/z 1009.4 [M+H]⁺. C₄₀H₄₆IN₆O₁₇ (calc. 1009.2).

Example 12 Synthesis of CPD-1098

CPD-1097:

Starting from the hybrid backbone Fmoc-β-Glu-β-Glu-β-Glu-Nlys-OH, thetitle compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 1; retention time: 3.23 min; MS (positive ESI):found m/z 1173.5 [M+H]⁺. C₅₂H₇₃N₆O₁₇Sn (calc. 1173.4).

CPD-1098:

The title compound was prepared from CPD-1097 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 1.70 min; MS (positive ESI):found m/z 1009.4 [M+H]⁺. C₄₀H₄₆IN₆O₁₇ (calc. 1009.2).

Example 13 Synthesis of CPD-1102

CPD-1101:

Starting from the peptoid backbone Fmoc-Nglu-Nglu-Nglu-Nlys-OH, thetitle compound was prepared in a similar manner to the synthesis ofCPD-1022.

HPLC-MS elution method 1; retention time: 3.29 min; MS (positive ESI):found m/z 1174.0 [M+H]⁺. C₅₂H₇₃N₆O₁₇Sn (calc. 1173.4).

CPD-1102:

The title compound was prepared from CPD-1101 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 1.75 min; MS (positive ESI):found m/z 1009.1 [M+H]⁺. C₄₀H₄₆IN₆O₁₇ (calc. 1009.2).

Example 14 Synthesis of CPD-1094

Polyamine Backbone (Free Amine):

To a solution of DTPA-anhydride (0.150 g, 0.419 mmol) in 2 mL of DMF wasadded H-Nlys(Boc)-Ot-Bu (0.152 g, 0.502 mmol). The reaction mixture wasstirred at room temperature for 1 hour before the addition ofN-Fmoc-1,4-butanediamine hydrochloride salt (0.146 g, 0.419 mmol). Afteran additional 1 hour of stirring the mixture was diluted with diethylether (25 mL) and the suspension centrifuged at 4000 rpm for 15 minutes.The white precipitate was then collected and treated with a mixture ofTFA/water/TES (95:2.5:2.5 v/v/v, 2 mL) at room temperature for 2 hours.Volatiles were removed under vacuum and the residue purified bypreparative-HPLC (method 5, retention time: 8.9 min) to produce thedesired product as an amorphous white solid (0.123 g, 0.151 mmol, 36%yield).

HPLC-MS elution method 4; retention time: 2.97 min; MS (positive ESI):found m/z 814.5 [M+H]⁺. C₃₉H₅₆N₇O₁₂ (calc. 814.4).

Polyamine Backbone (Stannane):

To a solution of the polyamine backbone (62 mg, 0.076 mmol) in 1.0 mL ofDMF were added 2,3,5,6-tetrafluorophenyl 3-tributylstannylbenzoate (84mg, 0.151 mmol) and diisopropylethylamine (30 μL, 0.172 mmol) at roomtemperature. The reaction solution was stirred for 1 hour and thendiluted with a mixture of cold diethyl ether (25 mL). The resultantsuspension was centrifuged at 4000 rpm for 15 minutes and the whiteprecipitate collected and washed with 20 mL of cold diethyl ether. Thisintermediate (91 mg, 0.075 mmol, 99% yield) was used in the next stepwithout further purification. HPLC-MS elution method 1; retention time:3.42 min; MS (positive ESI): found m/z 1208.5 [M−H]⁺. C₅₈H₈₆N₇O₁₃Sn(calc. 1208.5).

CPD-1094:

To a solution of the above polyamine-stannane (45 mg, 0.037 mmol) andadipic acid bis-NHS active ester (0.127 g, 0.372 mmol) in 1 mL of DMFwas added triethylamine (0.20 mL) at room temperature. The reactionmixture was stirred at room temperature for 12 hours before dilutionwith diethyl ether (25 mL). The resultant suspension was centrifuged at4000 rpm for 15 minutes and the solid collected. Purification wasaccomplished by preparative-HPLC (method 6, retention time: 7.7 min) toyield the final product as an amorphous white solid (6.5 mg, 5.4 μmol,12% yield).

HPLC-MS elution method 1; retention time: 3.00 min; MS (positive ESI):found m/z 1211.6 [M+H]⁺. C₅₃H₈₇N₈O₁₆Sn (calc. 1211.5).

CPD-1095:

The title compound was prepared from CPD-1094 in a similar manner to thesynthesis of CPD-1023.

HPLC-MS elution method 1; retention time: 1.61 min; MS (positive ESI):found m/z 1047.5 [M+H]⁺. C₄₁H₆₀IN₈O₁₆ (calc. 1047.3).

Example 15 Radiochemistry

All compounds were prepared using the following general proceduredescribed for the radiolabeling of CPD1028 with Na¹³¹I. Table 3describes representative labeling results for some of the differentresidualizing linkers described herein.

Radiolabeling Precursor CPD1022 with Na¹³¹I to Prepare CPD1028

Precursor CPD 1022 (80 μg) was dissolved in 50 μL of acetonitrile andadded to a 20 mL scintillation vial. Sodium iodide (Na¹³¹I, 20 μL) waspremixed with 5 uL of acetic acid in a 1.5 mL plastic vial andsubsequently added to the scintillation vial containing the precursor.Iodogen (5 μL of a 1 mg/mL solution in acetonitrile) was added and theresultant solution allowed to stand for 5 minutes at room temperatureafter which the reaction was quenched with 25 μL of sodium thiosulfate.Intermediate radiolabeled linker CPD1023 was then purified via HPLC.

Purified HPLC fractions of CPD1023 were combined and dried under vacuumin a 60° C. water bath. The vial was further dried with 2×200 μL of EtOHto remove any residual TFA. The resulting residue was dissolved in 20%DMSO in PBS (containing 0.01% Tween80), vortexed and centrifuged. Tothis vial was added 10 μL of figitumumab followed by 5 μL of boratebuffer (0.1M, pH=8.5) and allowed to sit at room temperature for 2hours. The crude conjugated product was subsequently purified via aSephadex packed column containing 35 mm G50 resin in a 1 mL housing. Thefinal radiolabeled product, CPD 1028 was eluted from the column with PBScontaining 0.01% Tween80 in high purity as analyzed by SEC and iTLC forpurity.

TABLE 3 Residualizing radiolabeled antibodies Specific Final PrecursorRadiochemical Yield (%) Radiochemical Activity Product PrecursorStandard Labeling Conjugation Overall Purity (□Ci/□g) 1028 1022 1023 8043 33 98 14 1028 1051 1052 55 75 20 98 15.1 1049 1054 1055 62 18 6 95 71068 1066 1067 56 36 20 99 4.4 1073 1071 1072 82 50 20 96 12.5 1074 10801081 74 46 33 96 14.2 1079 1084 1085 34 56 18 96 13.7 1093 1091 1092 8033 23 99 14.6 1096 1094 1095 43 40 17 99 9.4 1100 1097 1098 81 41 32 9816.4 1104 1101 1102 77 41 30 99 11 1106 1022 1023 72 8.5 6 99 5.6 Note:Most compounds were labeled with antibody Figitumumab with the exceptionof 1106 which used an anti-EGFR clone 528 monoclonal antibody

Example 16 In Vitro Evaluation

Saturation Binding Experiments

Saturation binding experiments measure the specific binding atequilibrium of a radioligand at various concentrations in order todetermine the Kd (ligand concentration that binds to half the receptorsites at equilibrium) and Bmax (maximum number of binding sites). Inthis type of binding assay, both total and nonspecific binding aremeasured, where specific binding to the receptor is calculated bysubtracting the difference. Nonspecific binding is typically assessed bymeasuring radioligand binding in the presence of a fixed concentrationof an unlabeled compound that binds to essentially all the receptors.Since all the receptors are occupied by the unlabeled drug, theradioligand only binds nonspecifically. Kd and Bmax values arecalculated by nonlinear regression analysis and computerized curvefitting.

The purpose of this assay was to ensure that these new radiolabelledconjugates maintained binding characteristics consistent with the nativeantibody in an IGF-1R expressing A431 cell line. Twenty-four hours priorto the start of the experiment, 1.5×10⁵ A431 cells were seeded in48-well microplates in 500 μl supplemented medium. The labeled conjugatewas diluted with binding buffer (PBS+0.5% BSA) to a range ofconcentrations from 0.08 nM to 40 nM; final assay concentration 0.04 to20 nM. At the start of the assay, the media is aspirated, discarded and500 μl of serum-free DMEM was added to each well. The plates wereincubated at 37° C. for 1 h. Following incubation, media was aspiratedfrom each well and discarded. The cells were washed and 100 μl ofbinding buffer (total binding) or 4 μM cold-antibody (non-specificbinding) added to designated wells. Plates were incubated at 4° C. for 1h with mild shaking. Following the blocking step, 100 μl of labeledconjugate was added to each well. The plates were then incubated at 4°C. for 2 h. Following incubation, the contents of each well wasaspirated and discarded. The cells were washed twice with PBS and werethen lysed with 1% Triton-X-100. The lysates were transferred tocounting tubes and run with labeled conjugate standards on the Wizard1470 gamma counter to determine the radioactivity content (in counts perminute (CPM)) for each lysate. The remaining lysate from each well (254was transferred to a 96-well plate, and the protein content of eachlysate determined using a standard protein quantification assay. Total,non-specific and specific ligand binding determinations, mass of boundconjugate in each lysate were calculated by converting lysate CPM tofmol bound using the specific activity of the conjugate standards andthen normalizing the fmol bound to the protein content of each lysate(in milligrams). Specific binding was determined by subtracting thenon-specific binding from total binding. Total, specific andnon-specific binding values (fmol/mg) were plotted (y-axis) againstconjugate concentration (nM, x-axis) as shown in FIG. 1. The K_(d) andB_(max) were derived by curve fitting of the specific binding data to asingle-site hyperbola model (GraphPad Prism Software).

Residualization

The residualization assay was designed to determine the degree of cellretention of radiolabeled-linker-antibody derivatives. The assay relieson the inherent ability of the IGF-1 receptor to internalize when boundto ligand and the ability to track radiolabelled compounds. In this typeof binding experiment, a constant amount of radioligand is incubatedwith an IGF-1R expressing cell line for a fixed period of time.Following incubation, the cells are stripped with a mild acid buffer toremove any external or membrane-bound radioligand. Fresh medium isreapplied and the cells are again incubated for a pre-determined amountof time. It is during this period that cell processes degrade theradioligand and thereby efflux radioactive fragments back into theculture medium or retain the radioactive fragments in the cell.Residualization is determined by calculating the amount of internalizedradioactivity as a percentage of the total cell-associated activityfollowing acid wash.

A431 cells were plated in 24-well plates at a concentration of 2.5×10⁵cells/well in full medium (DMEM). Following overnight incubation, thecells were changed to serum-free DMEM and incubated for 1 hour at 37° C.Media was decanted and plates were washed once with sterile PBS. Labeledconjugate was diluted in serum-free DMEM to a concentration of 2 nM. 500uL of radioligand was loaded into each well and incubated for 4 hours at37° C. After incubation, plates were immediately placed on ice andmedium was discarded into pre-labeled (non-bound) gamma counting tubes.Cells were washed once with sterile PBS, gently shaken and decanted intothe (non-bound) gamma tubes. Mild acid wash buffer (pH 4.6, 500 μL) wasadded into all wells. Plates were incubated at 4° C. for 15 minutes andbuffer was collected into pre-labeled gamma-counting tubes(membrane-bound). 1 ml of warmed serum-free media was added to all wellsand plates were incubated at 37° C., for 0, 2 and 24 h. Following theprescribed incubation, plates were placed on ice and processed in thefollowing manner. Media was decanted and collected into labeled (efflux)gamma tubes. Plates were then washed once with 1 ml cold PBS andcollected into efflux tubes. Acid wash buffer (pH 2.5, 500 μL) was addedto all wells and plates were incubated for 5 minutes on ice. The acidwash fraction was then collected into labeled (recycled) gamma tubes.Cells were lysed with 300 μL 1% Triton X-100 for 30 minutes at roomtemperature. 250 μL of the cell lysate was transferred into gammacounting tubes and counted for 10 minutes. 25 μL of the cell lysatefraction was transferred to a 96-well plate for protein quantification(Pierce BCA Protein Assay). Percent residualization (FIG. 2) wasdetermined as CPM (lysate)/CPM (efflux+recycled+lysate).

Example 17 Diagnostic and Radiation Treatment Planning Use

Antibody-linker conjugates prepared by these means can used fordiagnostic purposes including but not limited to detection of antigenexpressing tumors and/or for measuring antigen biomarker levels toobtain biochemical or pathological information about course of disease,severity of disease, change in disease phenotype or indicate treatmentplanning. For example, high levels of antigen target expression intumors measured by imaging antibody-linker conjugates in patients may beindicative of developing resistance to an ongoing chemotherapeutictreatment and provide information to enable change of a current courseof treatment. High levels of target antigen in tumors measured byantibody-linker conjugate imaging may indicate aggressive, proliferativeor metastatic disease and dictate subsequent treatment. Another exampleis that detection of antigen on target expressing tumors by imaging withan antibody-linker conjugate may indicate therapeutic efficacy of thesame conjugate labeled with a therapeutic radioisotope or any othersuitable chemotherapeutic in the form of an antibody drug conjugate.Follow up diagnostic imaging of an appropriate biomarker with anantibody-linker conjugate is also useful for tracking patient responseto an ongoing treatment plan.

Other Embodiments

All patents, patent applications, and publications mentioned in thisspecification are herein incorporated by reference, to the same extentas if each independent patent, patent application, or publication wasspecifically and individually indicated to be incorporated by reference.

What is claimed is:
 1. A conjugate, selected from the group consistingof:

wherein the iodine atom is ¹²³I, ¹²⁴I, ¹²⁵I, or ¹³¹ I and A-NH is apolypeptide.